Knowledge assessment on dental avulsion of private and public school teachers of Curitiba

Dental trauma is one of the most important oral health problems during childhood. It occurs frequently in the school environment and it is extremely important that the professors have knowledge on the subject because the management taken after the accident, directly influences on the prognosis. Objective: The aim of this study was to evaluate the knowledge level about dental avulsion of teachers who work in the private and public elementary schools in the city of Curitiba (PR, Brazil). Material and methods: A questionnaire adapted from Mori et al. (2007) was applied, consisting of three parts, Part I: general demographic data; Part II: basic questions about the importance of emergency management, experience in dental avulsion and the management to be taken in an event of dental avulsion; Part III: Questions about dental avulsion. The chi-square test was used to identify differences in responses for different variables, with significance level of 5%. Results: A total of 98 teachers answered the questionnaire (54 private and 44 municipal schools). Most were women (66% in private and 95.5% in municipal schools), with professional experience between 6-10 years and a postgraduate degree (81.1% of teachers in private schools and 79.9% of teachers in municipal schools). The statistical analysis showed a significant difference between the groups in age and about the emergency procedure for dental avulsion. Conclusion: It can be concluded that knowledge by the elementary schoolteachers in cases of dental avulsion is inadequate

Root Preparation of Deciduous Teeth: Efficacy of WaveOne and ProTaper Systems with and without Passive Ultrasonic Irrigation

Introduction: The aim of this study was to compare root preparation of deciduous teeth with WaveOne Large (WO) and ProTaper F4 (PT) instruments with or without passive ultrasonic irrigation (PUI). Methods and Materials: Forty-eight deciduous teeth were scanned before and after root preparation and divided in four groups (n=12): WO+EDTA (WO); WO+EDTA with PUI (WOPUI); PTF+EDTA (PT); and PT+EDTA with PUI (PTPUI). Root canal enlargement by micro-computed tomography and root canal cleaning by scanning electron microscopy (SEM) were analyzed. Data were submitted to two-way ANOVA and Tukey’s tests to analyze the root canal volume variation, and Kruskal-Wallis followed by Friedman and Wilcoxon tests were used to evaluate the cleaning efficacy. The level of significance was set at 0.05. Results: No significant difference occurred in total volume between groups (P>0.05). On analysis by thirds of the root canal, there was a difference in volume between WO (cervical) compared to WO and PT (apical), and PTPUI (middle and apical) (P<0.05). When cleaning of the thirds within the same group was compared, there was a significant difference in all groups (P<0.05). Among the groups, in the thirds, in the cervical a difference occurred (P=0.028), and the pairwise comparisons indicated statistically difference between WO and PT, and WO and PTPUI (P<0.05). In the pairwise comparisons among thirds, in the groups, difrences occured in all of them when compared the cervical and apical thirds (P<0.05). Conclusion: Passive ultrasonic irrigation has not improved the smear layer removal in deciduous teeth. Despite the differences in performance between WO and PT instruments, both were suitable for preparation of deciduous teeth.Keywords: Deciduous Teeth; Endodontic; Passive Ultrasonic Irrigation; Root Canal Preparation; Ultrasoni

A ação do hidróxido de cálcio frente ao enterococcus faecalis nos casos de periodontite apical secundária

Introduction: Pulp and periapical tissue infection etiology has been discussed for many years. Apical periodontitis is characterized by multimicrobial flora origin, in which Enterococcus faecalis is the microorganism more frequently found. In clinical situations, the aim of endodontic treatment is to remove microorganisms of the system of root canals. Intra canal medications are an important step in the treatment and they must be effective in microorganisms that resist the preparation of the root canal. Among all used medications, the calcium hydroxide is frequently used. It acts establishing a highly alkaline pH inside the root canal, 12.5 approximately, in which most of the microorganisms do not manage to survive. Aim: to make a review of the literature about the relationship on the Enterococcus faecalis on endodontic failure and calcium hydroxide effectiveness in this clinical situation. Conclusion: Calcium hydroxide has limited action against Enterococcus faecalis.Introdução: a infecção da polpa e dos tecidos periapicais tem a sua etiologia discutida há anos. A periodontite apical é caracterizada por ser de origem polimicrobiana, sendo o Enterococcus faecalis o micro-organismo mais comumente encontrado. Em situações clínicas, o objetivo do tratamento endodôntico é eliminar micro-organismos do sistema de canais radiculares. As medicações intracanal são um importante passo no tratamento e devem ser efetivas frente aos micro-organismos que resistem ao preparo do canal radicular. Dentre as medicações empregadas, o hidróxido de cálcio é utilizado rotineiramente como medicação intracanal. Sua ação se deve ao fato de estabelecer um pH altamente alcalino dentro do canal radicular, 12,5 aproximadamente, no qual a maioria dos micro-organismos não consegue sobreviver. Objetivo: realizar uma revisão de literatura sobre a relação do Enterococcus faecalis no insucesso endodôntico e a efetividade do hidróxido de cálcio nesta situação clínica. Conclusão: a ação do hidróxido de cálcio frente ao Enterococcus faecalis é limitada

Assessment of the Dentistry undergraduates’ knowledge on tooth avulsion

Dental trauma affects mainly children, teenagers and young adults and the anterior teeth. In dental avulsion, the teeth are completely displaced out of the socket. This dentoalveolar lesion is that causing the most severe functional, esthetic, and psychologic damage to the patient. Objective: To evaluate the knowledge level of Dentistry undergraduates on tooth avulsion and verify whether the course period would be associated with the knowledge level. Material and methods: A questionnaire adapted from Fujita et al.. [5], was applied, consisting of three parts, Part 1: general demographic data; Part 2: questions about the experience in tooth trauma Part 3: knowledge about tooth avulsion. The questionnaire was applied to 706 Dentistry undergraduates from Positivo University (PR), in June, 2015. The chi-square test was used to identify differences in responses for different variables, with significance level of 5%. Results: Most of the students were at the age range from 16 to 20 years-old (47.1%), were female (74.7%), were not trained on first-aid care in cases of tooth trauma (73.9%), and never faced a case of tooth avulsion (68.8%). The course period was statistically and positively associated with the knowledge on dental avulsion. Conclusion: The evaluated Dentistry undergraduate students knew how to manage cases of tooth avulsion. Statistically significant differences occurred in relation to the course period and the knowledge on tooth avulsion

Effect of Root Canal Preparation on Propagation of Dentinal Microcracks

Introduction: This study evaluated the propagation of dentinal microcracks and the root canal volume increase after being prepared with two endodontic instruments: ProTaper Next (PTN) and WaveOne Gold (WOG) by micro-computed tomography analysis. Methods and Materials: We selected 48 maxillary molars randomly distributed in two groups: PTN and WOG. The samples were scanned before and after instrumentation, and then the image analysis was performed to detect the propagation of pre-existing dentinal micro-cracks and calculate the pre- and post-instrumentation volume. The statistical analysis was performed using Student’s t-test, Fisher's exact test, and ANCOVA (P<0.05). Results: Dentinal microcracks were observed in 95.8% of the samples, both PTN and WOG instruments propagated microcracks after instrumentation, but there was no significant difference between the instruments (P=0.538). In relation to the root canal volume there was no statistic difference between PTN and WOG systems for the mesiobuccal (P=0.426) and distobuccal root canals (P=0.523). Conclusion: We can conclude that both ProTaper Next and WOG systems propagate dentinal microcracks after root canal preparation in this in vitro study, without statistical significance. The root canal volume prepared also showed no statistically significant difference between the two groups. This in vitro study requires further studies for more concrete conclusions

Estudo da anatomia interna dos pré-molares – Revisão de literatura

 Introdução: com a intenção de reforçar a estreita relação existente entre o conhecimento da anatomia interna e a obtenção do sucesso no tratamento endodôntico, são relatadas aqui características da anatomia interna presentes no grupo dental dos pré-molares. Revisão de literatura: as alterações morfológicas quando desconsideradas podem dificultar a terapia endodôntica. A resolução de casos com anatomia incomum exige consequentemente, mudanças no método de diagnóstico, assim como no tratamento. Conclusão: a identificação, e, portanto, o tratamento satisfatório de raízes e canais diferenciados, diminui a persistência dos sinais e sintomas, reduzindo, assim as possíveis causas de um retratamento. Palavras-chave: Anatomia; Endodontia; Pré-molar

Thermoplastic endodontic obturation – TC system: case report

The TC system, developed in 2002, allows the endodontic filling by means of a non-conventional technique that uses gutta-percha at alpha phase,thermoplasticized in its own oven, placed into canal through a McSpadden compactor, without using a main cone. Objective: The aim of this case report was to show the TC system used for root canal filling. Case report: Three teeth of a patient was indicated for endodontic treatment, so TC system was used for the root filling. Conclusion: This technique showed to be effective for the root canal filling

Avaliação da capacidade de dissolução tecidual de diferentes soluções de hipoclorito de sódio em tecido conjuntivo e muscular de ratos

 Objetivo: analisar a capacidade de dissolução tecidual de diferentes soluções de hipoclorito de sódio em tecido conjuntivo e muscular esquelético de ratos. Metodologia: foram obtidos 60 fragmentos de tecido conjuntivo (dorso) e muscular esquelético (língua) de ratos da linhagem Wistar, que foram submetidos à ação solvente das soluções de hipoclorito de sódio comercializadas, prontas para uso, Hipoclor 1%, HW 1% e 2,5%, Limpa Bem 2,5% e soluções manipuladas nas mesmas concentrações. O tempo de dissolução foi cronometrado. O método de titulometria com iodo foi utilizado para confirmação do teor de cloro ativo das soluções utilizadas. Resultados: a análise estatística revelou diferença não significante entre os dois diferentes tecidos (p0.05) e apresentou diferença significante (pConclusão: ambos tecidos podem ser utilizados para a verificação da capacidade de dissolução tecidual do hipoclorito de sódio e que esta obedece uma relação diretamente proporcional a concentração do teor de cloro ativo.Palavras-chave: Dissolução Tecidual; Hipoclorito de Sódio; Preparo do Canal Radicular

Analysis of the internal anatomy of mandibular molars using different cone-beam computed tomography protocols

The aim of this study was to analyze the root canal anatomy variations of permanent mandibular molars using three different cone-beam computed tomography (CBCT) protocols. Material and methods: Thirty-five freshly extracted first and second mandibular molars were collected and subjected to three CBCT protocols: i-CAT Classic (ICC); i-CAT Next Generation (ICN), and PreXion 3D (PXD). Images were evaluated by two previously calibrated and experienced endodontists. The morphological root canal configurations were classified according to Vertucci. Data were analyzed for frequency, and the binomial and Kappa tests were then performed (α = 0.05). Results: ICC and ICN were able to diagnose a higher percentage of anatomical variations in the mesial roots. In this same root, Vertucci’s type V was the most prevalent, and in distal was the type I. In comparisons of CBCT techniques for agreement, significant differences in the mesial root canals were found in the following: ICC versus (vs) ICN; ICC vs PXD; and ICN vs PXD (p 0.05). The level of agreement in mesial roots was poor or absent, while in distal was moderate. Conclusion: Anatomical variations were found in both root canals, with higher variability in the mesial, highlighting ICC and ICN protocols, and the prevalence of Vertucci’s type V, while in the distal prevailed the type I