3 research outputs found

    Multiple Endodontic Guides for Root Canal Localization and Preparation in Furcation Perforations: A Report of Two Cases

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    Perforations are managed by surgical or nonsurgical approach depending on the relationship of the perforation site to the crestal bone level and attachment apparatus. Relocating the canal orifice or root canal close to the perforation site is quite challenging even with the aid of a dental operating microscope. In these two case reports, guided endodontics was applied in root canal localization and preparation in cases of furcation perforations. This is the report of two patients (42 and 15-year-old, respectively) who were referred for root canal treatment of the mandibular right first molar. The first case complained of pain on biting, foul odor, and bad taste. The referring dentist noted a furcation perforation and an inability to locate the mesial canals. Radiographic examination showed furcation radiolucency. Definitive diagnosis was symptomatic apical periodontitis. The second case complained of severe throbbing pain along with pain on biting. Mesial canals could not be detected due to a furcation perforation as noted by the referring dentist. Radiographic examination revealed a large furcation perforation and related bone resorption. Definitive diagnosis was acute apical abscess. In each case, a silicone impression of the mandibular arch was obtained and scanned along with cone-beam computed tomography scan to plan for localization and preparation of the mesiobuccal canals using implant planning software. Multiple guides were fabricated through rapid prototyping and allowed for the correct orientation and insertion of endodontic files through the canal. Canals were prepared and then obturated using warm vertical compaction technique and the perforation were repaired by mineral trioxide aggregate (MTA). Six-month and one-year follow-ups revealed no symptoms and evidence of radiographic healing. Thus, multiple endodontic three-dimensional guides can be successful in root canal localization and preparation in cases of furcation perforations

    Perceptions of clinical dental students toward online education during the COVID-19 crisis: An Egyptian multicenter cross-sectional survey

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    Objectives: To evaluate the perceptions of clinical dental students on the role of online education in providing dental education during the COVID-19 crisis. Materials and Methods: A cross-sectional online survey was sent to four Egyptian dental schools from the 20th of January 2021 to the 3rd of February 2021. Survey questions included the demographics, uses, experiences, perceived benefits, and barriers of distance learning in dentistry during the COVID-19 pandemic. Responses were collected from the clinical dental school students. Categorical data were presented as frequencies (n) and percentages (%) and were analyzed using Fisher’s exact test. Results: Three hundred thirty-seven clinical dental students across four Egyptian dental schools responded. Most students used either Google Classroom or Microsoft Teams to access the online content. The data showed that the COVID-19 pandemic affected the academic performance of most participants (97.4%) with varying degrees. On average, students were neutral when asked to rate the online lectures, but did not find online practical education as effective (81.3%) as online theoretical teaching. The commonly described barriers to online teaching included loss of interaction with educators, inappropriateness in gaining clinical skills, and the instability of the internet connection. Conclusion: Despite the reported benefits, clinical dental students in Egypt preferred the hybrid approach in dental education as distance learning represented a prime challenge to gain adequate clinical dental skills

    Dynamic Cyclic Fatigue and Differential Scanning Calorimetry Analysis of R-Motion

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    ABSTRACT: Introduction: The aim of this study was to assess the dynamic cyclic fatigue resistance of an R-Motion file at simulated body temperature and document corresponding phase transformations compared to OneCurve and HyFlex EDM (HFEDM). Methods: R-Motion (25/.06), OneCurve (25/.06), and HFEDM (25/.06) files were selected and divided into 3 groups (n = 9) according to the file type. Dynamic cyclic fatigue testing was done with a custom-made artificial stainless-steel canal that had a 90° angle of curvature and a 5-mm radius of curvature. Files were operated continuously at body temperature until fracture in the artificial canal. The time to fracture was calculated. Statistical analysis was performed, and significance was set at 5%. Phase transformation temperatures for 2 instruments of each group were analysed by differential scanning calorimetry (DSC) analysis. Results: The highest mean time to fracture value was measured in the HFEDM group (277.84 ± 2.51), followed by the R-Motion group (115.09 ± 0.01), whilst the lowest value was found in the OneCurve group (44.28 ± 3.63). Post hoc pairwise comparisons were all statistically significant (P < .001). DSC heating curves show austinite start temperatures to be 33.94 °C and 43.32 °C and austinite finish temperatures to be 35.09 °C and 50 °C for R-Motion and HFEDM, respectively. DSC cooling curves show martensite start temperatures to be 27.54 °C and 44.52 °C and martensite finish temperatures to be 29.13 °C and 37.68 °C for R-Motion and HFEDM, respectively. DSC curves of OneCurve failed to demonstrate transformation temperatures within the tested heat range. Conclusions: Crystalline arrangement of Ni and Ti atoms within the NiTi alloys greatly affects the dynamic cyclic fatigue resistance of the file
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