Apical periodontitis in mesiobuccal roots of maxillary molars: influence of anatomy and quality of root canal treatment, a CBCT study

Carrion Samantha Jannone,Coelho Marcelo Santos,Soares Adriana de Jesus,Frozoni Marcos 대한치과보존학회 2022 Restorative Dentistry & Endodontics Vol.47 No.4

Objectives This study aimed to evaluate the prevalence of apical periodontitis (AP) in the mesiobuccal roots of root canal-treated maxillary molars. Materials and Methods One thousand cone-beam computed tomography images of the teeth were examined by 2 dental specialists in oral radiology and endodontics. The internal anatomy of the roots, Vertucci’s classification, quality of root canal treatment, and presence of missed canals were evaluated; additionally, the correlation between these variables and AP was ascertained. Results A total of 1,000 roots (692 first molars and 308 second molars) encompassing 1,549 canals were assessed, and the quality of the root canal filling in the majority (56.9%) of the canals was satisfactory. AP was observed in 54.4% of the teeth. A mesiolingual canal in the mesiobuccal root (MB2 canal) was observed in 54.9% of the images, and the majority (83.5%) of these canals were not filled. Significant associations were observed between the presence of an MB2 canal and the quality of the root canal filling and the presence of AP. Conclusions AP was detected in more than half of the images. The MB2 canals were frequently missed or poorly filled. Objectives This study aimed to evaluate the prevalence of apical periodontitis (AP) in the mesiobuccal roots of root canal-treated maxillary molars. Materials and Methods One thousand cone-beam computed tomography images of the teeth were examined by 2 dental specialists in oral radiology and endodontics. The internal anatomy of the roots, Vertucci’s classification, quality of root canal treatment, and presence of missed canals were evaluated; additionally, the correlation between these variables and AP was ascertained. Results A total of 1,000 roots (692 first molars and 308 second molars) encompassing 1,549 canals were assessed, and the quality of the root canal filling in the majority (56.9%) of the canals was satisfactory. AP was observed in 54.4% of the teeth. A mesiolingual canal in the mesiobuccal root (MB2 canal) was observed in 54.9% of the images, and the majority (83.5%) of these canals were not filled. Significant associations were observed between the presence of an MB2 canal and the quality of the root canal filling and the presence of AP. Conclusions AP was detected in more than half of the images. The MB2 canals were frequently missed or poorly filled.

Mineral content in fishes in the lower course of the itapecuru river in the state of Maranhão, Brazil

Heliene Leite Ribeiro Porto,Antonio Carlos Leal de Castro,James Werllen de Jesus Azevedo,Leonardo Silva Soares,Cássia Fernanda Chagas Ferreira,Marcelo Henrique Lopes Silva,Helen Roberta Silva Ferreira 한국화학공학회 2017 Korean Journal of Chemical Engineering Vol.34 No.7

Concentrations of calcium, iron, potassium, magnesium, phosphorus, zinc, copper, selenium and nickel were determined in the muscle tissue of seven species of fish (Plagioscion squamosissimus, Geophagus surinamensis, Prochilodus lacustres, Curimata sp., Schizodon dissimilis, Ageneiosus ucayalensis and Hypostomus plecostomus) collected from the lower course of the Itapecuru River in the state of Maranhão, Brazil. The samples were digested in a nitricperchloric solution and analyzed using an inductively coupled plasma atomic emission spectrometer, with the construction of specific calibration curves for each element. The highest concentrations of constituent minerals were found for phosphorus, potassium, nickel and magnesium (399.83, 144.60, 90.20 and 29.49mg 100 g−1, respectively) in G. surinamensi, P. lacustres and Curimata sp. The lowest concentrations were found for copper, zinc, iron and selenium (0.12, 0.51, 1.05 and 8.31mg 100 g−1, respectively) in Curimata sp., S. dissimilis, A. ucayalensis and P. squamosissimus. The concentrations of all minerals can be considered low and are below the maximum limit established by Brazilian legislation for the human ingestion of fish meat. A comparison of the seven species of fish investigated revealed no statistically significant differences regarding the concentrations of minerals, suggesting that size and different dietary habits do not exert an influence on absorption. The low concentrations of metals, such as Fe, Cu, Zn and Ni, may be related to the environmental conditions of the mouth of the river, which receives ocean inputs that produce particular tide cycles with a strong dispersion capacity, thereby diminishing residence time in the water column and reducing the availability of these metals to species of fish.

Effect of intracanal medications on the interfacial properties of reparative cements

Pereira, Andrea Cardoso,Pallone, Mariana Valerio,Marciano, Marina Angelica,Cortellazzi, Karine Laura,Frozoni, Marcos,Gomes, Brenda P.F.A.,de Almeida, Jose Flavio Affonso,de Jesus Soares, Adriana The Korean Academy of Conservative Dentistry 2019 Restorative Dentistry & Endodontics Vol.44 No.2

Objectives: The purpose of the present study was to evaluate the effect of calcium hydroxide with 2% chlorhexidine gel (HCX) or distilled water (HCA) compared to triple antibiotic paste (TAP) on push-out bond strength and the cement/dentin interface in canals sealed with White MTA Angelus (WMTA) or Biodentine (BD). Materials and Methods: A total of 70 extracted human lower premolars were endodontically prepared and randomly divided into 4 groups according to the intracanal medication, as follows: group 1, HCX; group 2, TAP; group 3, HCA; and group 4, control (without intracanal medication). After 7 days, the medications were removed and the cervical third of the specimens was sectioned into five 1-mm sections. The sections were then sealed with WMTA or BD as a reparative material. After 7 days in 100% humidity, a push-out bond strength test was performed. Elemental analysis was performed at the interface, using energy-dispersive spectroscopy. The data were statistically analyzed using analysis of variance and the Tukey test (p < 0.05). Results: BD presented a higher bond strength than WMTA (p < 0.05). BD or WMTA in canals treated with calcium hydroxide intracanal medications had the highest bond strength values, with a statistically significant difference compared to TAP in the WMTA group (p < 0.05). There were small amounts of phosphorus in samples exposed to triple antibiotic paste, regardless of the coronal sealing. Conclusions: The use of intracanal medications did not affect the bond strength of WMTA and BD, except when TAP was used with WMTA.

Effect of intracanal medications on the interfacial properties of reparative cements

Andrea Cardoso Pereira,Mariana Valerio Pallone,Marina Angélica Marciano,Karine Laura Cortellazzi,Marcos Frozoni,Brenda P. F. A. Gomes,José Flávio Affonso de Almeida,Adriana de Jesus Soares 대한치과보존학회 2019 Restorative Dentistry & Endodontics Vol.44 No.2

Objectives: The purpose of the present study was to evaluate the effect of calcium hydroxide with 2% chlorhexidine gel (HCX) or distilled water (HCA) compared to triple antibiotic paste (TAP) on push-out bond strength and the cement/dentin interface in canals sealed with White MTA Angelus (WMTA) or Biodentine (BD). Materials and Methods: A total of 70 extracted human lower premolars were endodontically prepared and randomly divided into 4 groups according to the intracanal medication, as follows: group 1, HCX; group 2, TAP; group 3, HCA; and group 4, control (without intracanal medication). After 7 days, the medications were removed and the cervical third of the specimens was sectioned into five 1-mm sections. The sections were then sealed with WMTA or BD as a reparative material. After 7 days in 100% humidity, a push-out bond strength test was performed. Elemental analysis was performed at the interface, using energy-dispersive spectroscopy. The data were statistically analyzed using analysis of variance and the Tukey test (p < 0.05). Results: BD presented a higher bond strength than WMTA (p < 0.05). BD or WMTA in canals treated with calcium hydroxide intracanal medications had the highest bond strength values, with a statistically significant difference compared to TAP in the WMTA group (p < 0.05). There were small amounts of phosphorus in samples exposed to triple antibiotic paste, regardless of the coronal sealing. Conclusions: The use of intracanal medications did not affect the bond strength of WMTA and BD, except when TAP was used with WMTA.