ABSTRACT
Introduction: To thoroughly plan and execute any dental treatment, the anatomy of the dental root canals is of prime significance. Hence, in this systemic review, we intend to evaluate the cone beam computed and micro-computed tomographic presentations of the root canal morphologies of the secondary teeth. Materials and Methods: We conducted the search for the data from the online sources such as the "EMBASE," "Pubmed," "Scopus," and other sources. Only human studies were collected. Terms searched were cone beam computed tomography (CBCT), micro-computed tomography, permanent teeth, and root canal morphology. The data extraction and meta-analysis were based on the PRISMA guidelines. Results: A total of 170 studies were initially considered for the study. After the application of the inclusion and the exclusion criteria, only ten studies were qualified for the study. In 2 studies, the comparison was done between the conical beam and the microtomograhic views for assessing the root canal anatomies. There were, however, three studies that did not conclude any significant relation between the two imaging systems. When the risk of bias was calculated for the ten studies, there were only low and moderate for the ten included studies. The pooled prevalence among the genders were 21.4% (14.0%-24.6% confidence interval [CI] 95%) and 25.3% (20.0%-30.7% CI 95%), respectively, with high heterogeneity values (= 99.30% and 98.50%, respectively), but no statistical significance (P > 0.05). Conclusion: Both the imaging systems CBCT and the microtomography can be used with accuracy in the evaluation of the anatomic variations of the human root canal. However, a definition is dependent on the voxel size.
ABSTRACT
Context: Pulpotomy is a procedure in which part of an exposed vital pulp is removed, usually as a means of preserving the vitality and function of the remaining part. Aim: The aim is to compare the effectiveness of Dycal (CH), EndoSequence, and Titanium-prepared platelet-rich fibrin with EndoSequence (T-PRF) as pulpotomy agents in mature permanent molars with irreversible pulpitis. Settings and Design: Sixty permanent mandibular molars with carious exposure and symptoms of irreversible pulpitis were randomly allocated to three groups. Subjects and Methods: Full pulpotomy was performed using Dycal, EndoSequence, and T-PRF with EndoSequence as pulpotomy agents. Pain intensity was analyzed using a Numeric Rating Scale score at baseline 24 h, 7 days, 6 months, and 1 year. The clinical and radiographic evaluations were done at 6 months and 1 year. Statistical Analysis: Nonparametric tests (Kruskal-Wallis, Chi-square) were applied to analyze the data as the normality test does not follow a normal distribution. Results: T-PRF and EndoSequence showed effective results when compared clinically, and there was no significant difference between radiographic success rates among the three groups at (P = 0.325 at 6 months, 0.466 at 12 months) follow-up. Conclusion: T-PRF and EndoSequence showed higher success rates among Dycal, EndoSequence as pulpotomy agents in teeth with irreversible pulpitis.
