Fatih Cakici

The effect of medicaments used in endodontic regeneration technique on the dislocation resistance of mineral trioxide aggregate to root canal dentin.

INTRODUCTION The aim of this study was to evaluate the effect of calcium hydroxide (CH) and antibiotic pastes, including a mixture of metronidazole and ciprofloxacin, with and without minocycline or cefaclor, on the dislocation resistance of mineral trioxide aggregate (MTA) to root dentin. METHODS Eighty single-rooted human mandibular premolars were selected. The teeth were prepared by using the ProTaper system. The prepared teeth were then instrumented to a #6 Peeso reamer to obtain a standard internal diameter of 1.5 mm. The reamers were passed 1 mm beyond apex to simulate immature teeth. The specimens were then randomly divided into a control group (no intracanal medicament was used) and 4 experimental groups that were treated with an intracanal medicament: CH, double antibiotic paste (DAP) with metronidazole and ciprofloxacin, triple antibiotic paste (TAP) with minocycline, or TAP with cefaclor (n = 16). After 3 weeks, the medicaments were removed, and approximately 3 mm of MTA was placed in the coronal third of the canals. A push-out test was used to measure the dislocation resistance between the root dentin and MTA. Data were analyzed by using one-way analysis of variance and Tukey post hoc tests. RESULTS The dislocation resistance values of the CH, TAP with minocycline, and TAP with cefaclor groups were similar to those of the control group (P > .05), whereas the DAP group had the lowest dislocation resistance when compared with the other groups (P < .05). Overall, there was a predominance of cohesive failures between root dentin and MTA. CONCLUSIONS The results of this study indicate that the application of DAP as an intracanal medicament reduced the dislocation resistance of MTA to root dentin.

Influence of Instruments Used in Root Canal Preparation on Amount of Apically Extruded Debris.

The aim of the present study was to compare the effects of ProTaper Gold, WaveOne Gold, ProTaper Universal, and WaveOne instruments on the amount of apically extruded debris. Eighty mandibular premolar teeth with straight root canals were selected and assigned to four groups (n = 20). The root canals were instrumented using ProTaper Gold, WaveOne Gold, ProTaper Universal, and WaveOne systems. Eppendorf tubes containing apically extruded debris were weighed three times, and mean values were calculated. The net mass of the extruded debris was calculated by subtracting the initial mass from the final mass. The groups were compared using one-way analysis of variance and Tukeys post hoc tests at a significance level of P < 0.05. The PTG group extruded less debris than the PTU group, and the WOG group extruded less debris than the WO group (P < 0.05). All the instrumentation systems tested in the present study were associated with apical extrusion of debris.

Assessment of periapical health, quality of root canal filling, and coronal restoration by using cone-beam computed tomography.

AIM The purpose of this study is to use cone-beam computed tomography (CBCT) to describe the prevalence of apical health, the quality of root canal filling, and coronal restorations of endodontically treated teeth in the east Anatolian subpopulation of Turkey. MATERIALS AND METHODS CBCT scans were taken from 748 patients attending for the 1st time to the clinic at the Oral Diagnosis and Radiology Department at Ataturk Universitys Faculty of Dentistry in Erzurum, Turkey. All images were analyzed by two research assistants who were trained using examples of CBCT images with and without the presence of periapical radiolucency. The two examiners assessed images from the experiment independently, and the readings were then compared. All data were entered on an MS Excel 2007 spreadsheet and SPSS software 15.0 which was used for statistical analysis. The Chi-square test was used to determine if a patients periapical status was associated with the technical quality of root filling, coronal status, and to evaluate differences between tooth subgroups. RESULTS In total, 147 teeth from 748 patients were found to have been treated endodontically. Sixty three teeth were found to have short root canal fillings, whereas 74 teeth had adequate root canal fillings, and the remaining 10 teeth had over extended root canal filling. A significant correlation was observed between the length of root filling and apical periodontitis (P = 0,023). Inadequately dense root canal filling was observed in 141 teeth, whereas adequately dense filling was found in only six teeth. There was a significant correlation between the density of root filling and apical periodontitis (P = 0.044). Coronal restoration was found in 90 teeth, but was not observed in all the three teeth. A crown was present in 54 teeth. There was a significant correlation between coronal restoration and apical periodontitis (P = 0.028). CONCLUSION The results indicate that the quality of both the root filling and restoration were found to have impact on the periapical health of root-filled teeth.

Apically extruded debris during root canal preparation using ProTaper Gold, ProTaper Universal, ProTaper Next, and RECIPROC instruments

Purpose The aim of this study was to determine the amount of apically extruded debris during root canal preparation with ProTaper Gold (PTG) (Dentsply Maillefer, Ballaigues, Switzerland), ProTaper Universal (PTU) (Dentsply Maillefer), ProTaper Next (PTN) (Dentsply Maillefer), and RECIPROC (VDW, Munich, Germany) in curved canals. Methods Eighty human mandibular molar teeth were divided into 4 groups according to the system used for root canal preparation: PTG, PTU, PTN, and RECiPROC groups. The mean weight of extruded debris was statistically analyzed using one-way analysis of variance and post-hoc Tukeys test (a = 0.05). Results The PTU was associated with significantly more extruded debris than the PTG, PTN, and RECIPROC (p<0.05). The PTG was associated with significantly more extruded debris than the PTN and RECIPROC (p<0.05), whereas no significant difference was found between the RECIPROC and PTN (p>0.05). Conclusions All systems caused apical debris extrusion during curved canal preparations. However, the PTG, PTN, and RECIPROC systems resulted in significantly less debris extrusion than the PTU system.

Dental anomalies in an orthodontic patient population with maxillary lateral incisor agenesis.

ABSTRACT Introduction: The purpose of this study was to evaluate the prevalence of dental anomalies in a subpopulation of orthodontic patients with agenesis of maxillary lateral incisors (MLI). Methods: The material of the present study included the records of the 1964 orthodontic patients. Panoramic radiographs and dental casts were used to analyze other associated eight dental anomalies, including agenesis of other teeth, dens invaginatus, dens evaginatus, peg shaped MLI, taurodontism, pulp stone, root dilaceration and maxillary canine impaction. Results: Out of the 1964 patients examined, 90 were found to have agenesis of MLI, representing a prevalence of 4.6%. The most commonly found associated-anomalies were agenesis of other teeth (23.3%), peg-shaped MLIs (15.6%), taurodontism (42.2%), and dilacerated teeth (18.9%). Conclusion: Permanent tooth agenesis, taurodontism, peg-shaped maxillary lateral incisor, and root dilacerations are frequently associated with maxillary lateral incisor agenesis.

Micro push-out bond strength of resin cement in roots exhibiting the butterfly effect.

The aim of this study was to determine the bond strength of resin cement in root sections with or without butterfly effect. Fifteen single-rooted human maxillary central incisors were decoronated and prepared up to size 40. After post space preparation, the resin cement was placed into the post space and the fiber posts were luted. 1 mm thickness slices were obtained and the presence of the butterfly effect was recorded. A push-out test was then used to measure the bond strength between the resin cement and root dentin. Data were analyzed using independent samples of t and χ(2) tests (p = 0.05). The sections exhibiting butterfly effect showed higher push-out bond strength values than those of without butterfly effect (p < 0.05). Butterfly effect can influence the push-out bond strength. Thus, this phenomena should be taken into account, when push-out bond strength test is performed. Root sections exhibiting butterfly effect resulted in higher push-out bond strength values to root sections without butterfly effect.