Advances in endodontics: Potential applications in clinical practice

Kishen, Anil; Peters, Ove A.; Zehnder, Matthias; Diogenes, Aníbal; Nair, Madhu K.

doi:10.4103/0972-0707.181925

Cited by 56 publications

(56 citation statements)

References 79 publications

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“…Those who combined different types of instrumentation treated 20 teeth or more. Our study consolidates the literature findings about the efficiency and speed of mechanical systems 5,24,25 .…”

Section: Discussionsupporting

confidence: 89%

Current trends in technological armamentarium and treatment among Brazilian endodontists

et al. 2017

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Aim:To determine the current trends in technological armamentarium and endodontic treatment among Brazilian endodontists. Methods: A total of 279 endodontists answered a web-based survey questionnaire about their region of activity in Brazil and years as a specialist, average number of endodontic cases treated per month, number of visits to complete the treatment, use of rubber dam for isolation, type of irrigant, obturation technique and device used for this purpose, temporary filling materials, and greater difficulty encountered during treatment and technological armamentarium. A descriptive analysis, expressed in terms of frequency and percentage, was performed and the data were correlated using the chi-square test (p<0.05). Results: Most of the respondents had up to 10 years as specialists. More than 50% of endodontists preferred to complete the endodontic treatment in a single visit. Ninety-nine percent of endodontists used rubber dam for isolation. NaOCl was the most widely used irrigant. Most of the respondents associated different techniques for root canal filling. Lateral condensation and Continuous wave of condensation were the isolated technique most reported. Filling devices (thermocompactors) were used by 53% of endodontists. Glass ionomer was the preferred temporary filling material. The answers for the use of technological armamentarium revealing that 94% of endodontists used an apex locator; 67.38% utilized magnification (loupe: 23.66%; microscope: 35.48%; microscope and loupe: 8.24%); 58% reported to digital radiography; and 47.31% used computed tomography as a complementary tool. About mechanized instrumentation, 44.44% endodontists employed rotary and reciprocating files. The difficulties encountered during endodontic treatment were classified as preparation > access > obturation > anesthesia > isolation. Conclusions: Most endodontists have implemented new technologies, such as mechanical instrumentation, apex locators, magnification, digital radiography, computed tomography, ultrasound, and obturation tools, in their clinical practice.

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Section: Discussionsupporting

confidence: 89%

Current trends in technological armamentarium and treatment among Brazilian endodontists

et al. 2017

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“…21,22 When complex anatomies are present, these inaccessible regions require greater reliance on debridement and disinfection techniques relative to the rest of the root canal system. 23 Complex anatomy also creates further procedural difficulties, which can leave debris and bacteria behind inadvertently. 3 Research demonstrates that bacteria remaining after endodontic therapy typically resides in complex anatomical regions, such as the lateral canals and isthmi.…”

Section: Resultsmentioning

confidence: 99%

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Ford¹

2018

The Journal of Contemporary Dental Practice

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Aim and background: Debriding and disinfecting complex anatomies within the root canal system pose a major challenge during root canal therapy. Even with current chemomechanical techniques, debris and bacterial remnants are commonly left behind, which are generally believed to increase the risk of endodontic failure. This case details the use of a new technique to debride complex apical anatomy in a maxillary molar. Case report:A 48-year-old female presented to the clinic with a chief complaint of increasing pain in her tooth. Clinical examination of the right first maxillary molar (#3) revealed moderate sensitivity to percussion and mild sensitivity to palpation. A pulpal diagnosis of symptomatic irreversible pulpitis and a periapical diagnosis of symptomatic apical periodontitis were made. Mechanical instrumentation was performed using rotary file size #25/.04 for the mesiobuccal and distobuccal canals and size #25/.06 for the palatal canal to create a fluid path and enable obturation of the root canal system following the GentleWave ® Procedure. The GentleWave Procedure was completed using Multisonic Ultracleaning™ for complete debridement and disinfection of the root canal system. The tooth was obturated using a warm vertical continuous wave obturation technique. Postoperative radiographs revealed complex anatomy within the apical third that was undetected both during pre-operative radiography and mechanical instrumentation. The palatal canal exhibited a complex apical delta with multiple points of exit, and the mesiobuccal canal revealed an undetected lateral canal within the apical third that had a separate and distinct egress. Conclusion and clinical significance:It is important for the clinician to debride and disinfect complex anatomy within the root canal system to reduce the risk of endodontic failure. This case report highlights the clinical significance of utilizing the GentleWave Procedure for detecting complex apical anatomy during endodontic therapy.

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“…[4] However, many studies have reported bacterial penetration through the entire length of the root canal within a few days following root canal filling with gutta-percha, which indicates that a perfect seal is hard to achieve in endodontic therapy. [56]…”

Section: Introductionmentioning

confidence: 99%

In vitro and ex vivo microbial leakage assessment in endodontics: A literature review

Savadkouhi

Bakhtiar

Ardestani

2016

J Int Soc Prevent Communit Dent

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The aim of this study was to perform a literature review of published in-vitro and ex-vivo studies, which evaluated microbial leakage in endodontics in the past 10 years. A comprehensive electronic literature search was carried out in PubMed database for English articles published from 2005 to 2016 using the keywords “endodontics,” “in vitro,” “ex vivo,” “microbial leakage,” “microbial penetration,” “saliva,” “Enterococcus faecalis,” “E. faecalis,” “endodontic sealers,” “temporary filling material,” “apical plug,” “mineral trioxide aggregate,” and “MTA.” The keywords were combined using Boolean operators AND/OR. Based on our search strategy, 33 relevant articles were included in the study. There are three main methods for assessment of bacterial microleakage, namely, (A) the dual-chamber leakage model, (B) detection of bacteria using a scanning electron microscope (SEM), and (C) polymerase chain reaction. All bacterial leakage models have some limitations and may yield different results compared to other microleakage evaluation techniques (i.e., dye penetration, fluid filtration, or electrochemical tests). The results of SEM correlated with those of microbial leakage test in most studies. Microbial leakage test using saliva better simulates the clinical setting for assessment of the leakage of single or mixed bacterial species.

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Advances in endodontics: Potential applications in clinical practice

Cited by 56 publications

References 79 publications

Current trends in technological armamentarium and treatment among Brazilian endodontists

Current trends in technological armamentarium and treatment among Brazilian endodontists

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

In vitro and ex vivo microbial leakage assessment in endodontics: A literature review

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