A survey on perceived COVID-19 risk in dentistry and the possible use of rapid tests

Aim: The present study was conducted to assess the perceived risk of COVID-19 transmission in dental professionals (DPs), that include dentists and dental auxiliary staffs, and whether rapid tests should be a recommended tool to constrain the transmission of the COVID-19, and who should be bearing their cost (governments, dentists, or patients) through an online survey. Materials and methods: A sample size of n = 700 was recruited in the study. The study included DPs from all over the world. A randomized selection of samples was done through dental groups present on social networks. An online survey was conducted in April 2020, using the Google Form software to provide questions and collect and elaborate answers. Data were analyzed using the statistical software STATA and presented in terms of percentages. Results: About 78% of the study participants perceived a very high risk of COVID-19 contamination in dental settings. Nearly 80% of the study participants were willing to be subjected to rapid tests and the same could be performed on patients visiting their dental clinics, which could prevent the spread of the disease. About 55% of the participants had reported that additional costs for the rapid tests should be borne by the governments. Conclusion: The results of the present survey report that DPs do not feel safe and perceive a high risk of COVID-19 contagion and prevention of the disease could be done by performing rapid tests on dentists, dental staff, and patients visiting the dental clinics irrespective of age and gender of the participants. Significance: Since all the dentists and allied staff have perceived increased risk for COVID-19 transmission, it is important that preventive measures are implemented through rapid test kits at the earliest

Fatigue resistance of two Nickel-Titanium rotary instruments before and after ex vivo root canal treatment

Aim: The aim of the present study is twofold: to evaluate cyclic fatigue resistance differences of two different nickel-titanium rotary instruments, brand new and after an ex vivo instrumentation of single root extracted teeth. Materials and methods: Twenty new S One 20.06 were randomly divided into two groups. The first group (n = 10) was immediately subjected to a cyclic fatigue test (S One Group I). The second group (n = 10) (S one Group II) performed a cyclic fatigue test after three ex vivo root canal treatment with a single-file technique. The same process has been carried out for 20 M-Two 20.06 instruments. Results: Mean time to fracture (TtF) for Group I was 51.14 ± 1.28 for S One and 32.62 ± 0.17 for M-Two 20.06 and for Group II was 46.00 ± 0.99 for S One and 27.75 ± 1.58 for M-Two 20.06. The reduction in TtF values from Group I to Group II was 11% for S One and 15% for M-Two. Statistical analysis found significant differences in all the groups examined (p value < 0.05). Mean fragment length (FL) for Group I was 3.07 ± 0.17 for S One and 3.05 ± 0.14 for M-Two 20.06 and for Group II was 3.05 ± 0.07 for S One and 3.05 ± 0.14 for M-Two 20.06. Statistical analysis was pursued, and no significant difference was found (p value > 0.05). Conclusion: The S-One showed significantly more resistance to cyclic fatigue stress than M-Two for both new and used instruments. This validates the hypothesis that the AF H wire enables the S One files to endure more the cyclic fatigue stresses. Clinical significance: This study demonstrates the cyclic fatigue resistance of a new endodontic instrument after repetitive usage

A comprehensive in vitro comparison of mechanical properties of two rotary endodontic instruments

Aim: The aim of the present study was to compare two different nickel–titanium (NiTi) rotary files, F-One Blue and F2 Protaper Gold (PTG), evaluating their properties such as cyclic fatigue resistance, torsional resistance, and bending properties. Materials and methods: Sixty F-One Blue (25.06) and 60 PTGF2 have been randomly divided into 3 groups of 20 instruments each. Each group was tested in a different way, in order to analyze three different properties: cyclic fatigue resistance, torsional resistance, and flexibility. Cyclic fatigue resistance was evaluated by inserting the instruments for 16 mm in a stainless-steel artificial canal with a 90° angle and 5 mm of curvature with recommended speed and torque. Time to fracture was recorded using a chronometer (1/100 seconds). The number of cycles to fracture (NCF) was then calculated. Fragments were collected, and their lengths were measured. Torsional resistance was evaluated on the apical 3 mm of each of the files to calculate torque to fracture (TtF) using an endodontic motor (KaVo, Biberach, Germany), which automatically recorded the torque values every 1/10 s. All instruments were rotated at the same speed (300 rpm) and torque value (5.5 Ncm). Flexibility was evaluated using a calibrated load cell supported by a computer program. All the collected data were statistically analyzed (t-test) with a significance level set at 5%. Results: A significant difference in terms of cyclic fatigue resistance, torsional resistance, and flexibility between F-One Blue and F2 PTG was found (p < 0.05). The mean value of NCF was 604.16 (SD ± 23.32) for F-One Blue and 300.5 (SD 19.92) for F2 PTG. The mean value of TtF was 1.41 Ncm (SD ± 0.01) and 1.39 Ncm (SD ± 0.01) for F2 PTG. The mean value of bending test was 29 gcm (SD ± 1.15) for F-One Blue and 50 gcm (SD ± 2.30) for F2 PTG. Conclusion: F-One Blue better resists to flexural and torsional stresses and seemed to be more flexible. Since F-One Blue mechanical tested performances were better than the F2 PTG ones, these instruments should be considered a very promising instrument. Clinical significance: As evidenced by the results of this study, F-One Blue should be considered a very promising instrument that could improve endodontic clinical practice

Sem evaluation of endosequence bc sealer hiflow in different environmental conditions

The aim of the present study is to evaluate the setting and sealant ability of two different bioceramic sealers in two different environmental conditions: humid and wet environment. Ex vivo root canal treatment was performed on 24 freshly extracted teeth. Irrigation was performed with Niclor NaOCl 5% and EDTA 17%, then obturated with a bioceramic sealer in the two different environmental conditions listed above. Furthermore, scanning electron microscope (SEM) investigation was performed to verify the presence of gaps and the setting ability of the two sealers in two different environmental conditions was evaluated. While presence of gaps was found mainly in the wet specimens, on the other hand, regarding the setting ability, there is no statistically significant difference between the two different samples. Therefore, even if humid conditions represent the gold standard in terms of lower gaps dimension, since there is no methodology standardizing the drying procedure of the root canal, it is compulsory to investigate the sealing ability of the bioceramic sealers, even in wet conditions. Thanks to the findings shown in the present study, it is demonstrated that even in wet conditions the ability of the sealer to set does not change and such clinical situation could affect the bioceramic sealer protocol

Management of a Complex Case during COVID-19 Time Using One-day Digital Dentistry: A Case Report

Aim and objective: The aim of the present case report is to describe the digital management of an implant prosthetic rehabilitation performed by the use of different digital technologies, which allowed to successfully perform in 1 day both the surgical and the prosthetical stages with a minimally invasive approach and a high standard of care. Background: Coronavirus disease-2019 (COVID-19) pandemic is affecting dental everyday practice. Clinicians have to reduce the number of patients per day and the time they spend in the dental office. Minimally invasive and digital approaches, with less possible exposure and interaction, are suggested to reduce the risk of infection. Case description: The failure of a short-span implant prosthetic rehabilitation combined with pain and mobility of the involved teeth was the main complaint reported by a 78-year-old male patient, who asked an urgent appointment to solve the problem. An intraoral scanner allowed the clinician to immediately take a preliminary digital impression of the arch to be treated. The resulting 3D files were sent by e-mail to the dental technician who provided a digital wax-up for the computerized workflow. Computer-aided implantology (CAI) performed using an in-office cone-beam computed tomography (CBCT) allowed clinician to guide the surgical approach in a prosthetic manner. Such an integration inside a well-defined workflow was the key for a successful and rapid treatment. Conclusion: By using new innovative digital technology, the treatment was completed in 1 day, reducing the risk of COVID-19 by limiting the number of appointments and reducing contacts in confined environments like the dental office and public transportations. It also helped to reduce materials production and people movement in the treatment of dental emergency. Clinical significance: The possibility of performing an effective treatment saving time by using efficient technology and a minimally invasive procedure highlights the importance of digital planning in order to optimize every single step of the treatment. Digital workflow reduces also the movement of potentially infected materials from the office to the dental laboratory