To compare the efficacy of various irrigants(citric acid, ethylenediaminetetraacetic acid(EDTA) and Na OCl) and techniques in removing Ca(OH)2in two types of curved root canal systems, simulated root canals with speci...To compare the efficacy of various irrigants(citric acid, ethylenediaminetetraacetic acid(EDTA) and Na OCl) and techniques in removing Ca(OH)2in two types of curved root canal systems, simulated root canals with specific curvatures were used to investigate the effects of different irrigants and instruments on Ca(OH)2removal. The optimal methods were verified on extracted human teeth. Simulated root canals were assigned to one of two groups based on the irrigation solution: 10% citric acid or2.5% Na OCl. Each group was divided into four subgroups according to the technique used to remove Ca(OH)2. The percentage of Ca(OH)2removal in different sections of root canals was calculated. On the basis of the results obtained for the simulated canals, 10% citric acid and 17% EDTA were applied to remove Ca(OH)2from the extracted human teeth with curved root canal systems. The teeth were scanned by micro computed tomography to calculate the percentage of Ca(OH)2removal in the canals.In simulated root canals, we found that 10% citric acid removed more Ca(OH)2than 2.5% NaOCl in the 0–1 mm group from the apex level(Po0.05). Ultrasonic and Endo Activator activation significantly removed more Ca(OH)2than a size 30 K file in the apical third(Po0.05). However, there were no significant differences in any sections of the canals for 10% citric acid or 17%EDTA in removing Ca(OH)2in extracted human teeth. We concluded that it was effective to remove residual Ca(OH)2using the decalcifying solution with Endo Activator or Passive Ultrasonic Irrigation in a curved root canal system. A protocol for Ca(OH)2removal was provided based on the conclusions of this study and the methods recommended in previous studies.展开更多
Summary： This study was aimed to evaluate the effectiveness of solution form of 17% ethylenediaminetetraacetic acid （EDTA） on removing smear layer of root canals at different exposure time periods and to provide sc...Summary： This study was aimed to evaluate the effectiveness of solution form of 17% ethylenediaminetetraacetic acid （EDTA） on removing smear layer of root canals at different exposure time periods and to provide scientific basis for EDTA as a choice of root canal irrigation in clinical practice. Twenty-five single-rooted teeth were randomly divided into 5 groups： control group （group A） was given 2.5% NaOC1, and 4 experimental groups were given 2.5% NaOC1 and 17% EDTA, including groups B, C, D and E with exposure time of 1, 3, 5 and 7 min, respectively. After preparation of the root canals, the teeth were split along their longitudinal axis, and the root sections were examined under scanning elec- tron microscope for evaluation of smear layer removal and erosion on the surface of the root canal walls. The specimens in group B showed presence of smear layer on the walls of the root canal with no statistical difference from that in group A （P〉0.05）. In groups C and D, partial removal of smear layer was obtained, and there was no significant difference between the two groups （P〉0.05）, but there was significant difference in removal of smear layer between group C and group B （P〈0.05）. Root canal walls in group E specimens showed almost complete removal of smear layer, and the removal of smear layer was significantly different from that in group D （P〈0.01）. There was no significant change in the structure of the surface of root canal for each sample. It was concluded that combined irrigation with 17% EDTA and 2.5% NaOC1 could remove the smear layer with no significant alteration in dentinal structure when the chelating agent was applied for 7 min. At 3 and 5 min of application, partial removal of smear layer was observed and at 1 min negligible removal of smear layer was achieved.展开更多
Calcium hydroxide（CH） is applied to improve disinfection of root canals in most root canal retreatment. This study aimed to analyze the CH removal efficacy using 7 different root preparing files（K file, pre-curved ...Calcium hydroxide（CH） is applied to improve disinfection of root canals in most root canal retreatment. This study aimed to analyze the CH removal efficacy using 7 different root preparing files（K file, pre-curved K file, EndoActivator, Ultrasonic file, pre-curved ultrasonic file, F file and needle irrigation alone） with apical transportation. Standardized models of curved canal with such apical transportation or not were set up before applying CH to root canal for 7 days. Seven techniques described above were used for its removal. Then the roots were disassembled and digital photos were taken. The ratio of residual CH in the overall canal surface was calculated using the image analyzer image pro plus 6.0. The data were analyzed using one-way ANOVA with post hoc Tukey test. Results revealed that CH was effectively removed（P〈0.05） by using all 6 mechanical methods except irrigation alone. In curved root canals with apical transportation, EndoActivator, pre-curved ultrasonic file and F file were found to be more effective in removing CH than the other four file（P〈0.001）, while there was no significant difference among EndoActivator, pre-curved ultrasonic file and F file groups（P〉0.05）. The percentage of residual CH in the canal with apical transportation was higher than that in the canal without apical transportation（P〈0.05）. In conclusion, CH can be hardly removed completely. Canal with apical transportation will result in insufficient CH removal. EndoActivator, pre-curved ultrasonic file and F file are more effective in the curved root canal with apical transportation.展开更多
BACKGROUND Radicular cysts are one of the most common odontogenic cystic lesions found in the jaw.Nonsurgical treatment of large radicular cysts is a topic of ongoing debate,and there is still no clear consensus on th...BACKGROUND Radicular cysts are one of the most common odontogenic cystic lesions found in the jaw.Nonsurgical treatment of large radicular cysts is a topic of ongoing debate,and there is still no clear consensus on the most effective therapies.The apical negative pressure irrigation system aspirates the cystic fluid and releases the static pressure in the radicular cyst,representing a minimally invasive approach for decompression.In this case,the radicular cyst was in close proximity to the mandibular nerve canal.We used nonsurgical endodontic treatment with a homemade apical negative pressure irrigation system and the prognosis was good.CASE SUMMARY A 27-year-old male presented to our Department of General Dentistry with complaints of pain in the mandibular right molar when chewing.The patient had no history of drug allergies or systemic disease.A multidisciplinary management approach was designed and included root canal retreatment with a homemade apical negative pressure irrigation system,deep margin elevation and prosthodontic treatment.According to a 1-year follow-up period,the patient showed a favorable outcome.CONCLUSION This report reveals that nonsurgical treatment with an apical negative pressure irrigation system may provide new insights into the treatment of radicular cysts.展开更多
This review article explores the fundamental principles of modern endodontics with a focus on root canal cleaning and shaping.It reviews commonly used endodontic irrigant,namely sodium hypochlorite(NaOCl),herbal extra...This review article explores the fundamental principles of modern endodontics with a focus on root canal cleaning and shaping.It reviews commonly used endodontic irrigant,namely sodium hypochlorite(NaOCl),herbal extracts,chlorhexidine(CHX),and chelating agents,highlighting their properties,applications,and potential drawbacks.NaOCl,a key antimicrobial agent,demonstrates effectiveness against various microorganisms but poses challenges such as high cytotoxicity.Herbal extracts,gaining recognition in endodontics,present an alternative with potential advantages in preserving dentin integrity.CHX,known for its broad-spectrum antimicrobial activity,is discussed in both liquid and gel formulations,emphasizing its role in reducing smear layer formation and preserving hybrid layer durability.Chelating agents,specifically ethylenediaminetetraacetic acid and citric acid,play a vital role in removing the smear layer,enhancing dentin permeability,and facilitating the penetration of antimicrobial agents.The review article underscores the importance of careful application and consideration of each irrigant's properties to ensure safe and effective endodontic procedures.It serves as a valuable guide for clinicians in selecting appropriate irrigants based on specific treatment requirements.展开更多
目的探讨新型根管冲洗剂(mixture of doxycycline citric acid and detergent,MTAD)协同次氯酸钠对年轻恒牙牙髓血运重建术疗效的影响。方法选取东南大学附属中大医院江北院区2020年5月—2022年1月首次确诊为年轻恒牙牙髓病患儿120例作...目的探讨新型根管冲洗剂(mixture of doxycycline citric acid and detergent,MTAD)协同次氯酸钠对年轻恒牙牙髓血运重建术疗效的影响。方法选取东南大学附属中大医院江北院区2020年5月—2022年1月首次确诊为年轻恒牙牙髓病患儿120例作为研究对象,根据治疗方法将患儿分为2组,观察组与对照组,每组60例。观察组患儿采用MTAD协同次氯酸钠牙髓血运重建术治疗,对照组患儿采用MTAD牙髓血运重建术用于治疗,比较2组患儿治疗前及治疗12个月后的根管壁厚度、冠根比、咬合力、牙龈指数(gingival index,GI)、牙周指数(periodontal index,PI)、咀嚼功能,比较2组患儿的平均愈合时间、临床效果、术后并发症和满意度。结果治疗前,2组患儿的根管壁厚度、冠根比、咬合力、GI、PI和咀嚼功能差异无统计学意义(P>0.05),治疗后,2组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均增加,差异有统计学意义(P<0.05),GI、PI均降低,差异有统计学意义(P<0.05),与对照组比,观察组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均明显增加,差异有统计学意义(P<0.05),GI、PI均明显降低,差异有统计学意义(P<0.05)。与对照组比,观察组患儿的平均愈合时间和术后并发症总发生率明显减少,差异有统计学意义(P<0.05),总有效率和总满意度明显增加,差异有统计学意义(P<0.05)。结论采取MTAD协同次氯酸钠用于年轻恒牙牙髓病患儿对年轻恒牙牙髓血运重建术治疗效果比较显著。展开更多
基金supported by projects from the Sichuan Science and Technology Department(Grant No.2013JY0164)the National Nature Science Foundation of China(Grant No.81670980)
文摘To compare the efficacy of various irrigants(citric acid, ethylenediaminetetraacetic acid(EDTA) and Na OCl) and techniques in removing Ca(OH)2in two types of curved root canal systems, simulated root canals with specific curvatures were used to investigate the effects of different irrigants and instruments on Ca(OH)2removal. The optimal methods were verified on extracted human teeth. Simulated root canals were assigned to one of two groups based on the irrigation solution: 10% citric acid or2.5% Na OCl. Each group was divided into four subgroups according to the technique used to remove Ca(OH)2. The percentage of Ca(OH)2removal in different sections of root canals was calculated. On the basis of the results obtained for the simulated canals, 10% citric acid and 17% EDTA were applied to remove Ca(OH)2from the extracted human teeth with curved root canal systems. The teeth were scanned by micro computed tomography to calculate the percentage of Ca(OH)2removal in the canals.In simulated root canals, we found that 10% citric acid removed more Ca(OH)2than 2.5% NaOCl in the 0–1 mm group from the apex level(Po0.05). Ultrasonic and Endo Activator activation significantly removed more Ca(OH)2than a size 30 K file in the apical third(Po0.05). However, there were no significant differences in any sections of the canals for 10% citric acid or 17%EDTA in removing Ca(OH)2in extracted human teeth. We concluded that it was effective to remove residual Ca(OH)2using the decalcifying solution with Endo Activator or Passive Ultrasonic Irrigation in a curved root canal system. A protocol for Ca(OH)2removal was provided based on the conclusions of this study and the methods recommended in previous studies.
基金supported by the Fundamental Research Funds for the Central Universities,China(No.2010JC030)
文摘Summary： This study was aimed to evaluate the effectiveness of solution form of 17% ethylenediaminetetraacetic acid （EDTA） on removing smear layer of root canals at different exposure time periods and to provide scientific basis for EDTA as a choice of root canal irrigation in clinical practice. Twenty-five single-rooted teeth were randomly divided into 5 groups： control group （group A） was given 2.5% NaOC1, and 4 experimental groups were given 2.5% NaOC1 and 17% EDTA, including groups B, C, D and E with exposure time of 1, 3, 5 and 7 min, respectively. After preparation of the root canals, the teeth were split along their longitudinal axis, and the root sections were examined under scanning elec- tron microscope for evaluation of smear layer removal and erosion on the surface of the root canal walls. The specimens in group B showed presence of smear layer on the walls of the root canal with no statistical difference from that in group A （P〉0.05）. In groups C and D, partial removal of smear layer was obtained, and there was no significant difference between the two groups （P〉0.05）, but there was significant difference in removal of smear layer between group C and group B （P〈0.05）. Root canal walls in group E specimens showed almost complete removal of smear layer, and the removal of smear layer was significantly different from that in group D （P〈0.01）. There was no significant change in the structure of the surface of root canal for each sample. It was concluded that combined irrigation with 17% EDTA and 2.5% NaOC1 could remove the smear layer with no significant alteration in dentinal structure when the chelating agent was applied for 7 min. At 3 and 5 min of application, partial removal of smear layer was observed and at 1 min negligible removal of smear layer was achieved.
基金supported by the National Natural Science Foundation of China(No.81200781)
文摘Calcium hydroxide（CH） is applied to improve disinfection of root canals in most root canal retreatment. This study aimed to analyze the CH removal efficacy using 7 different root preparing files（K file, pre-curved K file, EndoActivator, Ultrasonic file, pre-curved ultrasonic file, F file and needle irrigation alone） with apical transportation. Standardized models of curved canal with such apical transportation or not were set up before applying CH to root canal for 7 days. Seven techniques described above were used for its removal. Then the roots were disassembled and digital photos were taken. The ratio of residual CH in the overall canal surface was calculated using the image analyzer image pro plus 6.0. The data were analyzed using one-way ANOVA with post hoc Tukey test. Results revealed that CH was effectively removed（P〈0.05） by using all 6 mechanical methods except irrigation alone. In curved root canals with apical transportation, EndoActivator, pre-curved ultrasonic file and F file were found to be more effective in removing CH than the other four file（P〈0.001）, while there was no significant difference among EndoActivator, pre-curved ultrasonic file and F file groups（P〉0.05）. The percentage of residual CH in the canal with apical transportation was higher than that in the canal without apical transportation（P〈0.05）. In conclusion, CH can be hardly removed completely. Canal with apical transportation will result in insufficient CH removal. EndoActivator, pre-curved ultrasonic file and F file are more effective in the curved root canal with apical transportation.
基金Supported by the Medical Health Science and Technology Project of Zhejiang Provincial Health Commission,No.2022RC158.
文摘BACKGROUND Radicular cysts are one of the most common odontogenic cystic lesions found in the jaw.Nonsurgical treatment of large radicular cysts is a topic of ongoing debate,and there is still no clear consensus on the most effective therapies.The apical negative pressure irrigation system aspirates the cystic fluid and releases the static pressure in the radicular cyst,representing a minimally invasive approach for decompression.In this case,the radicular cyst was in close proximity to the mandibular nerve canal.We used nonsurgical endodontic treatment with a homemade apical negative pressure irrigation system and the prognosis was good.CASE SUMMARY A 27-year-old male presented to our Department of General Dentistry with complaints of pain in the mandibular right molar when chewing.The patient had no history of drug allergies or systemic disease.A multidisciplinary management approach was designed and included root canal retreatment with a homemade apical negative pressure irrigation system,deep margin elevation and prosthodontic treatment.According to a 1-year follow-up period,the patient showed a favorable outcome.CONCLUSION This report reveals that nonsurgical treatment with an apical negative pressure irrigation system may provide new insights into the treatment of radicular cysts.
文摘This review article explores the fundamental principles of modern endodontics with a focus on root canal cleaning and shaping.It reviews commonly used endodontic irrigant,namely sodium hypochlorite(NaOCl),herbal extracts,chlorhexidine(CHX),and chelating agents,highlighting their properties,applications,and potential drawbacks.NaOCl,a key antimicrobial agent,demonstrates effectiveness against various microorganisms but poses challenges such as high cytotoxicity.Herbal extracts,gaining recognition in endodontics,present an alternative with potential advantages in preserving dentin integrity.CHX,known for its broad-spectrum antimicrobial activity,is discussed in both liquid and gel formulations,emphasizing its role in reducing smear layer formation and preserving hybrid layer durability.Chelating agents,specifically ethylenediaminetetraacetic acid and citric acid,play a vital role in removing the smear layer,enhancing dentin permeability,and facilitating the penetration of antimicrobial agents.The review article underscores the importance of careful application and consideration of each irrigant's properties to ensure safe and effective endodontic procedures.It serves as a valuable guide for clinicians in selecting appropriate irrigants based on specific treatment requirements.
文摘目的探讨新型根管冲洗剂(mixture of doxycycline citric acid and detergent,MTAD)协同次氯酸钠对年轻恒牙牙髓血运重建术疗效的影响。方法选取东南大学附属中大医院江北院区2020年5月—2022年1月首次确诊为年轻恒牙牙髓病患儿120例作为研究对象,根据治疗方法将患儿分为2组,观察组与对照组,每组60例。观察组患儿采用MTAD协同次氯酸钠牙髓血运重建术治疗,对照组患儿采用MTAD牙髓血运重建术用于治疗,比较2组患儿治疗前及治疗12个月后的根管壁厚度、冠根比、咬合力、牙龈指数(gingival index,GI)、牙周指数(periodontal index,PI)、咀嚼功能,比较2组患儿的平均愈合时间、临床效果、术后并发症和满意度。结果治疗前,2组患儿的根管壁厚度、冠根比、咬合力、GI、PI和咀嚼功能差异无统计学意义(P>0.05),治疗后,2组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均增加,差异有统计学意义(P<0.05),GI、PI均降低,差异有统计学意义(P<0.05),与对照组比,观察组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均明显增加,差异有统计学意义(P<0.05),GI、PI均明显降低,差异有统计学意义(P<0.05)。与对照组比,观察组患儿的平均愈合时间和术后并发症总发生率明显减少,差异有统计学意义(P<0.05),总有效率和总满意度明显增加,差异有统计学意义(P<0.05)。结论采取MTAD协同次氯酸钠用于年轻恒牙牙髓病患儿对年轻恒牙牙髓血运重建术治疗效果比较显著。
