Fracture resistance of roots filled with three different obturation techniques

Objectives: The aim of this study was to compare in vitro root fracture resistance following root canal filling with AH 26 using lateral condensation, BeeFill, and Thermafil techniques. Study Design: Eighty extracted human mandibular premolars with similar dimensions were selected. In order to standardize the roots, measurements were taken in two separate regions of the teeth?at the cemento-enamel junction and 8 mm apically from the junction?buccolingual as well as mesiodistal for every tooth. Teeth were then randomly divided into five groups (n=16). With the exception of the non-prepared group (Group 1), instrumentation was done in all groups. In group 2, instrumentation but no filling was performed; in group 3, the obturation was done with AH 26 + gutta-percha; in group 4, with AH 26 + BeeFill and in group 5, AH 26 + a Thermafil obturator was used. All the roots were mounted vertically in copper rings and filled with acrylic resin, exposing 8 mm of the coronal part. A universal testing machine was used for the strength test. Results: The results were analyzed using the one-way ANOVA test. The significance between the groups was tested with Temhane?s T2 test. The results indicate that instrumentation of root canals had a significant effect on fracture resistance (p0.05). Conclusions: The results suggest that instrumentation of root canals significantly weakens the tooth structure to fracture and the root canal obturation techniques that are used are not able to form reinforcement

Prognosis of a case with paresthesia associated with prolonged touching of an endodontic paste to the inferior alveolar nerve

Paresthesia is described as an abnormal sensation, such as burning, pricking, tickling, tingling, formication or numbness. Several conditions can cause paresthesia. This article presents a case of paresthesia caused by the extrusion of endodontic paste (Endomethasone®) into the mandibular canal. The clinical manifestations comprised the numbness on the right side of the mandible and right lower lip, appearing after endodontic treatment. After a mandibular block and infiltration anesthesia a mucoperiostal flap was raised and the extruded Endomethasone® was removed successfully. A therapy with antibiotic, B vitamin complex and an analgesic were prescribed. The patient reported an improvement in pain and headache after one week later and in burning after two weeks. After a four months follow-up, she became symptom free. Also sixteen months later she had any symptoms. Normalization of sensation shows that the neurotoxic effects of Endomethasone® are reversible after more than one month from the first touch of Endomethasone® to the inferior alveolar nerv

Assessment of the prevalence and characteristics of dens invaginatus in a sample of Turkish Anatolian population

Objective: The objective of this study was to assess the prevalence and characteristics of dens invaginatus in anterior teeth and to classify the type of dens invaginatus in a sample of Turkish Anatolian population. Study design: A retrospective study was performed using full-mouth periapical and panoramic radiographs of 1012 patients. Maxillary and mandibular anterior teeth were evaluated for the presence and characteristics of dens invaginatus. Statistical evaluation of the presence of dens invaginatus related to gender was performed by the Pearson chi-squared test. Results: Dens invaginatus was observed in 13 out of 1012 subjects and in only maxillary lateral incisors. There were no periapical lesions in teeth with types I and II, whereas both of the subjects with type III had apical periodontitis at the time of referral. Males and females were almost equally affected by dens invaginatus (P= 0.98). Conclusion: The anomaly was detected in only maxillary lateral incisors with no gender difference and the most commonly observed type of dens invaginatus was type I (81.25%)

Maxillary first Molar with three canal orifices in MesioBuccal root

The present case describes root canal treatment in a maxillary first molar with unusual anatomy. A male patient was referred for the treatment of maxillary left first molar tooth. Clinical examination of the pulpal floor revealed 3 orifices in the mesio buccal root. The tooth was treated successfully. Anatomic variations must be taken into consideration in clinical and radiographic evaluation during endodontic treatmen