Postoperative pain after endodontic treatment of necrotic teeth with large intentional foraminal enlargement

Machado Ricardo,Comparin Daniel,Ignácio Sérgio Aparecido,Silva Neto Ulisses Xavier da 대한치과보존학회 2021 Restorative Dentistry & Endodontics Vol.46 No.3

Objectives To evaluate postoperative pain after endodontic treatment of necrotic teeth using large intentional foraminal enlargement (LIFE). Materials and Methods The sample included 60 asymptomatic necrotic teeth (with or without chronic apical periodontitis), and a periodontal probing depth of 3 mm, previously accessed and referred to perform endodontic treatment. After previous procedures, the position and approximate size of the apical foramen (AF) were determined by using an apex locator and K flexo-files, respectively. The chemomechanical preparation was performed with Profile 04 files 2 mm beyond the AF to achieve the LIFE, using 2.5 mL of 2.5% NaOCl at each file change. The filling was performed by Tagger's hybrid technique and EndoFill sealer. Phone calls were made to all the patients at 24, 48 and 72 hours after treatment, to classify postoperative pain. Statistical analysis was performed by different tests with a significance level of 5%. Results Age, gender, periradicular status and tooth type did not influence postoperative pain (p > 0.05). Only 1 patient (1.66%) reported severe pain after 72 hours. Moderate pain was reported by 7, 4 and 3 patients after 24, 48 and 72 hours, respectively (p = 0.0001). However, paired analyses showed a statistically significant difference only between 24 and 72 hours (p = 0.04). Sealer extrusion did not influence the postoperative pain (p > 0.05). Conclusions Acute or moderate postoperative pain was uncommon after endodontic treatment of necrotic teeth with LIFE. Objectives To evaluate postoperative pain after endodontic treatment of necrotic teeth using large intentional foraminal enlargement (LIFE). Materials and Methods The sample included 60 asymptomatic necrotic teeth (with or without chronic apical periodontitis), and a periodontal probing depth of 3 mm, previously accessed and referred to perform endodontic treatment. After previous procedures, the position and approximate size of the apical foramen (AF) were determined by using an apex locator and K flexo-files, respectively. The chemomechanical preparation was performed with Profile 04 files 2 mm beyond the AF to achieve the LIFE, using 2.5 mL of 2.5% NaOCl at each file change. The filling was performed by Tagger's hybrid technique and EndoFill sealer. Phone calls were made to all the patients at 24, 48 and 72 hours after treatment, to classify postoperative pain. Statistical analysis was performed by different tests with a significance level of 5%. Results Age, gender, periradicular status and tooth type did not influence postoperative pain (p > 0.05). Only 1 patient (1.66%) reported severe pain after 72 hours. Moderate pain was reported by 7, 4 and 3 patients after 24, 48 and 72 hours, respectively (p = 0.0001). However, paired analyses showed a statistically significant difference only between 24 and 72 hours (p = 0.04). Sealer extrusion did not influence the postoperative pain (p > 0.05). Conclusions Acute or moderate postoperative pain was uncommon after endodontic treatment of necrotic teeth with LIFE.

Persistent pain after successful endodontic treatment in a patient with Wegener’s granulomatosis: a case report

Machado Ricardo,Pereira Jorge Aleixo,Vitali Filipe Colombo,Bolan Michele,Rivero Elena Riet Correa 대한치과보존학회 2022 Restorative Dentistry & Endodontics Vol.47 No.3

Wegener’s granulomatosis (WG) is a condition with immune-mediated pathogenesis that can present oral manifestations. This report describes the case of a patient diagnosed with WG 14 years previously, who was affected by persistent pain of non-odontogenic origin after successful endodontic treatment. A 39-year-old woman with WG was diagnosed with pulp necrosis and apical periodontitis of teeth #31, #32, and #41, after evaluation through a clinical examination and cone-beam computed tomography (CBCT). At the first appointment, these teeth were subjected to conventional endodontic treatment. At 6- and 12-month follow-up visits, the patient complained of persistent pain associated with the endodontically treated teeth (mainly in tooth #31), despite complete remission of the periapical lesions shown by radiographic and CBCT exams proving the effectiveness of the endodontic treatments, thus indicating a probable diagnostic of persistent pain of non-odontogenic nature. After the surgical procedure was performed to curette the lesion and section 3 mm of the apical third of tooth #31, the histopathological analysis suggested that the painful condition was likely associated with the patient's systemic condition. Based on clinical, radiographic, and histopathological findings, this unusual case report suggests that WG may be related to non-odontogenic persistent pain after successful endodontic treatments.

Smear layer removal by passive ultrasonic irrigation and 2 new mechanical methods for activation of the chelating solution

Machado Ricardo,da Silva Isadora,Comparin Daniel,de Mattos Bianca Araujo Marques,Alberton Luiz Rômulo,da Silva Neto Ulisses Xavier 대한치과보존학회 2021 Restorative Dentistry & Endodontics Vol.46 No.1

Objectives: The aim of this study was to compare smear layer removal by conventional application (CA), passive ultrasonic irrigation (PUI), EasyClean (EC), and XP-Endo Finisher (XPF), using 17% ethylenediaminetetraacetic acid (EDTA) after chemomechanical preparation, as evaluated with scanning electron microscopy (SEM). Materials and Methods: Forty-five single-rooted human mandibular premolars were selected for this study. After chemomechanical preparation, the teeth were randomly divided into 5 groups according to the protocol for smear layer removal, as follows: G1 (control): CA of distilled water; G2 (CA): CA of 17% EDTA; G3 (PUI): 17% EDTA activated by PUI; G4 (EC): 17% EDTA activated by EC; and G5 (XPF): 17% EDTA activated by XPF. SEM images (×1,000) were obtained from each root third and scored by 3 examiners. Data were evaluated using the Kruskal-Wallis and Dunn tests (p < 0.05). Results: In the apical third, there were no statistically significant differences among the groups (p > 0.05). In the cervical and middle thirds, the experimental groups performed better than the control group (p < 0.05); however, G2 presented better results than G3, G4, and G5 (p < 0.05), which showed no differences among one another (p > 0.05). Conclusions: No irrigation method was able to completely remove the smear layer, especially in the apical third. Using CA for the chelating solution performed better than any form of activation.

Prediction of Soil Organic Carbon and Texture in Complex Areas Using Vis-Nir Spectroscopy

Ricardo Simao Diniz Dalmolin,Andre Dotto,Fabricio De Araujo Pedron,Alexandre Ten Caten,Andrea Machado Pereira Franco 한국토양비료학회 2014 한국토양비료학회 학술발표회 초록집 Vol.2014 No.6

Difficulties experienced by endodontics researchers in conducting studies and writing papers

Alim-Uysal Betul Aycan,Goker-Kamali Selin,Machado Ricardo 대한치과보존학회 2022 Restorative Dentistry & Endodontics Vol.47 No.2

Objectives The study investigated the difficulties experienced by endodontics researchers around the world in conducting studies and writing papers. Materials and Methods A survey consisting of 18 questions on the difficulties experienced by endodontics researchers in performing studies and writing papers was e-mailed to academics in the field of endodontics working at 202 universities. The independent risk factors were analyzed using binary logistic regression at a significance level of 0.05. Results A total of 581 individuals (10.7%) agreed to participate in the study. Almost half the participants (48.2%) reported that they had received some type of training in conducting studies and writing papers. In response to the question, “Do you get help from a statistician to perform the statistical analyses of your studies?,” 77.1% answered “yes.” Around 40% of the participants stated that the need to obtain ethical approval negatively affected their desire to conduct studies. The participants’ regions had no effect on the reported difficulties associated with writing papers in English or conducting statistical analyses (p > 0.05). Most participants (81.8%) reported difficulties in writing the Discussion section, regardless of their region, academic degrees, or years of experience. Conclusions The participants stated they experienced difficulties in many areas, such as conducting statistical analyses, finding new ideas, and writing in English. Engaging in a detailed examination of ethics committee rules, expanding biostatistics education, increasing the number of institutions providing research funding, and increasing the number of endodontics journals can increase the enthusiasm of endodontics researchers to publish papers.

Smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation

Poletto, Daniel,Poletto, Ana Claudia,Cavalaro, Andressa,Machado, Ricardo,Cosme-Silva, Leopoldo,Garbelini, Cassia Cilene Dezan,Hoeppner, Marcio Grama The Korean Academy of Conservative Dentistry 2017 Restorative Dentistry & Endodontics Vol.42 No.4

Objectives: This study evaluated smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation. Materials and Methods: Forty-five extracted uniradicular human mandibular premolars with single canals were treated endodontically. The cervical and middle thirds of the fillings were then removed, and the specimens were divided into 9 groups: G1, saline solution (NaCl); G2, 2.5% sodium hypochlorite (NaOCl); G3, 2% chlorhexidine (CHX); G4, 11.5% polyacrylic acid (PAA); G5, 17% ethylenediaminetetraacetic acid (EDTA). For the groups 6, 7, 8, and 9, the same solutions used in the groups 2, 3, 4, and 5 were used, respectively, but activated with ultrasonic activation. Afterwards, the roots were analyzed by a score considering the images obtained from a scanning electron microscope. Results: EDTA achieved the best performance compared with the other solutions evaluated regardless of the irrigation method (p < 0.05). Conclusions: Ultrasonic activation did not significantly influence smear layer removal.

Sweet Basil (Ocimum basilicum): much more than a condiment

Sandra Maria Barbalho,Flávia Maria Vasques Farinazzi Machado,Jaqueline dos Santos Rodrigues,Tiago Henrique Pereira da Silva,Ricardo de Alvares Goulart 셀메드 세포교정의약학회 2012 셀메드 (CellMed) Vol.2 No.1

Ocimum basilicum belongs to the family Lamiaceae and can be found in tropical Asia, Africa, Central America and South America. It is widely cultivated commercially as a condiment or for the production of essential oil. In this review, this plant is accredited with important effects on health, in addition to being a condiment. In folk medicine it is used to treat vomiting, intestinal colic and diarrhea, menstrual pains and to improve kidney function. Some studies have demonstrated that it can be used for the treatment of hyperlipidemia and also that it has antioxidant, neuroprotective, anti-inflammatory and vasodilator properties as well as hepatoprotective effects. In view of its broad range of effects, further studies should be conducted to ascertain the possible use of this plant in clinical trials, not only for prevention but also as an adjuvant in the treatment of different diseases.

Smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation

Daniel Poletto,Ana Claudia Poletto,Andressa Cavalaro,Ricardo Machado,Leopoldo Cosme-Silva,Cássia Cilene Dezan Garbelini,Márcio Grama Hoeppner 대한치과보존학회 2017 Restorative Dentistry & Endodontics Vol.42 No.4

Objectives: This study evaluated smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation. Materials and Methods: Forty-five extracted uniradicular human mandibular premolars with single canals were treated endodontically. The cervical and middle thirds of the fillings were then removed, and the specimens were divided into 9 groups: G1, saline solution (NaCl); G2, 2.5% sodium hypochlorite (NaOCl); G3, 2% chlorhexidine (CHX); G4, 11.5% polyacrylic acid (PAA); G5, 17% ethylenediaminetetraacetic acid (EDTA). For the groups 6, 7, 8, and 9, the same solutions used in the groups 2, 3, 4, and 5 were used, respectively, but activated with ultrasonic activation. Afterwards, the roots were analyzed by a score considering the images obtained from a scanning electron microscope. Results: EDTA achieved the best performance compared with the other solutions evaluated regardless of the irrigation method (p < 0.05). Conclusions: Ultrasonic activation did not significantly influence smear layer removal.

USING A HEAT PUMP AS AN ALTERNATIVE TO SUPPORT SOLAR COLLECTOR FOR WATER HEATING IN BRAZIL

ROBERTS VINICIUS DE MELO REIS,RAPHAEL NUNES OLIVEIRA,LUIZ MACHADO,RICARDO NICOLAU NASSAR KOURY 대한설비공학회 2012 International Journal Of Air-Conditioning and Refr Vol.20 No.3

With related greenhouse e®ect environmental issues linked to the constant problems of the °uctuations in oil prices, the use of solar energy is an important renewable energy source. Brazil is a country which is privileged considering the high rates of solar irradiation present throughout almost the entire national territory. Nevertheless, during certain times of the year, there is a solar energy de¯cit, which leads solar systems to require electrical resistance support at these times. The use of electrical resistance represents 23.5% of electric energy consumption and it presents a low residential energy e±ciency. The purpose of this work is an alternative technical design for reduction of electric energy consumption through the use of a solar energy system together with a generating heat pump for water heaters for households, as well as the ¯nancial feasibility study on the use of this system. One such heat pump has been designed, constructed and tested experimentally. The average performance coe±cient is equal to 2.10, a low value due to the use of a hermetic reciprocating compressor. Despite this low moderate price coe±cient of acquisition and installation of a heat pump, one can allow a return on investment in from 2.1 to 3.3 years, whereas the equipment has a useful life of about 20 years, this period of return on investment is interesting.