Conservative shaping combined with three-dimensional cleaning can be a powerful tool: Case series

Iandolo, Alfredo; Abdellatif, Dina; Pantaleo, Giuseppe; Sammartino, Pasquale; Amato, Alessandra

doi:10.4103/jcd.jcd_601_20

Cited by 23 publications

(16 citation statements)

References 20 publications

(33 reference statements)

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“…The treatment of choice is root canal therapy. The main aim of this therapy is to remove bacteria and infected materials from the pulp and periapical tissues and replace them with biocompatible material [ 2 , 3 , 4 ]. According to Siqueira JF et al and Lin LM et al, complex root anatomy is the primary cause of endodontic treatment failure [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Root Anatomy and Canal Configuration of Human Permanent Maxillary First Molar Using Cone-Beam Computed Tomography: A Systematic Review

Barbhai

Shetty

Joshi

et al. 2022

IJERPH

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The aim of this paper is to review the literature on root canal configuration (RCC) and the frequency of occurrence of a second mesiobuccal canal (MB) in human permanent maxillary first molars where cone-beam computed tomography (CBCT) is used. Online electronic databases such as PubMed-Medline, Embase, Scopus and Cochrane Library were searched using appropriate keywords from the earliest available date until 12th June 2022, without restriction on language. In the mesiobuccal root, type I was the most frequent (33.29%), followed by types II and IV (27.18% and 26.36%, respectively). Moreover, 68.2% of maxillary first molars had a second MB canal. For both the distobuccal and palatal roots, type I was the most prevalent, with 99.08% and 97.83% occurrence, respectively. All other types were infrequent. Type I RCC is most frequent in all the roots of the maxillary first molars. Hence, care must be taken during biomechanical preparation of the MB roots.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Root Anatomy and Canal Configuration of Human Permanent Maxillary First Molar Using Cone-Beam Computed Tomography: A Systematic Review

Barbhai

Shetty

Joshi

et al. 2022

IJERPH

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“…Recent research has shown that conservative shaping can achieve excellent results when performed in conjunction with active cleaning [11,12,[14][15][16][17][18]. The shaping with rotating files with conicity and low diameters associated with a powerful cleaning leads to cleaning the dentinal walls and leads the irrigants to easily reach the lateral anatomies, including the dentinal tubules [9,19].…”

Section: Discussionmentioning

confidence: 99%

Modern rotary files in minimally invasive endodontics: a case report

Martina

Pisano

Amato

et al. 2021

Front Biosci (Elite Ed)

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Modern Endodontics aims to remove or decrease the bacterial load within the endodontic space. This target is achieved by performing adequate mechanical preparation combined with three-dimensional cleaning. The first step, shaping, is done using manual stainless steel files and Ni-Ti rotating files. In recent years, new rotating files have been developed in the martensitic phase, which, being more flexible, guarantees to work safely in the case of difficult anatomies. Therefore, this study aimed to demonstrate a non-surgical endodontic treatment using modern Ni-Ti files in a minimally invasive approach.

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“…On the other hand, it also includes, as established by numerous clinical and histological studies, particular areas that are challenging to access or even inaccessible (isthmuses, loops, lateral canals, ramifications, deltas, and dentinal tubules). [ 5 6 7 8 ] Consequently, mechanical shaping cannot access all areas of the complex endodontic system, regardless of the technique used, leaving parts of the root canals untreated. [ 9 ] Therefore, it is crucial to perform endodontic biochemical cleaning (accessible and inaccessible areas).…”

Section: Introductionmentioning

confidence: 99%

A novel modified obturation technique using biosealers: An ex vivo study

et al. 2021

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Background: The root canal anatomy is a complex space, and using a single-cone obturation technique does not guarantee a complete filling. Aim: This research aimed to evaluate the actual temperature of the biosealer during the obturation phase inside the root canal using a new hot technique. In addition, this study evaluated the penetration depth of the biosealer inside dentinal tubules. Setting and Design: The current study was concluded on two ex vivo experiments; the former tested the temperature evaluation. The latter examined the penetration depth of the biosealer. Materials and Methods: In this study, 42 sec mandibular premolars were used, and two experiments were carried out. In the first experiment, two premolars were utilized, and two thermocouples of K-type for each tooth were used. During the second experiment, the penetration depth of the biosealer was examined, 40 teeth were selected. Root canals were prepared then divided into two obturation groups: A, gutta-percha, and biosealer with single-cone technique and B, gutta-percha, and biosealer with a newly proposed obturation method. Confocal laser scanning was used to assess the penetration of the sealer. Statistical Analysis Used: In the first experiment, the Bonferroni method was performed to compare the temperature data. The tests used in the second experiment were Shapiro–Wilk's test, Kruskal–Wallis, and Mann–Whitney tests. Results: The first experiment results showed that the heat does not reach the apical third using the new obturation method. In the second experiment, the results showed in Group B significantly higher biosealer penetration into the dentinal tubules as compared to Group A ( P < 0.05). Conclusions: The highest level of penetration of the biosealer in the dentinal tubules was observed in the group of the new obturation method, and the last apical 3 mm remained at 37° using this novel hot modified technique providing no risk of chemical alteration of the biosealer.

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Conservative shaping combined with three-dimensional cleaning can be a powerful tool: Case series

Cited by 23 publications

References 20 publications

Evaluation of Root Anatomy and Canal Configuration of Human Permanent Maxillary First Molar Using Cone-Beam Computed Tomography: A Systematic Review

Evaluation of Root Anatomy and Canal Configuration of Human Permanent Maxillary First Molar Using Cone-Beam Computed Tomography: A Systematic Review

Modern rotary files in minimally invasive endodontics: a case report

A novel modified obturation technique using biosealers: An ex vivo study

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