Evaluation of Dentinal Thickness and Remaining Dentine Volume around Root Canals Using Cone-Beam Computed Tomography Scanning.

BACKGROUND: The remaining dentinal thickness is a significant factor to deal with when planning post-endodontic treatment. AIM: To assess the changes in the root canal dentinal thickness of intact and endodontically treated teeth using CBCT scans in the coronal, middle, and apical third of the root canal. MATERIAL AND METHODS: Three hundred CBCT scans for three age groups were analyzed to study the dentinal thickness pre- and post-endodontic treatment. The dentinal thickness (DT) was measured along the buccal, mesial, distal, and lingual/palatal walls from the inner surface of the root canal to the outer surface in mm. Statistical analysis was set at 0.05. RESULTS: The results of this study showed that the buccal, palatal, distal, and mesial dentinal thickness in intact and endodontically treated teeth is different. The differences were statistically significant when comparing the parameters of "healthy" and "treated" teeth (p < 0.05). There were no statistically significant differences in indicators associated with age (p > 0.05). In the coronal third of the root canal, the least amount of dentin tissue lost was 4.2% for mandibular canines. CONCLUSIONS: The dentinal thickness in the coronal and middle third of the root decreases significantly more than the apical third. The most loss of dentine volume was among molar teeth, and the remaining dentinal thickness was less than 1 mm, which would increase the risk of complication while preparing the canal for a post.

Evaluation of the Microbiological Effect of Colloidal Nanosilver Solution for Root Canal Treatment.

BACKGROUND: The goal of endodontic treatment, along with the preparation of the root canal and giving it a shape corresponding to the obturation technique, is the drug treatment of the canal. The aim of this study was to determine the antibacterial effect of a colloidal solution of nanosilver at its various dilutions on root canal microorganism. MATERIALS AND METHODS: A solution of silver nanoparticles at a concentration of 10,000 ppm (1.0%) was diluted in various concentrations (10 solutions from 1% to 0.0025%). Cultures used for research: Str. agalacticae ATCC 3984, E. faecalis ATCC 323, St. aureus ATCC 4785, C. albicans ATCC 10231. After thawing, cultures of microorganisms were introduced into a liquid nutrient medium: cerebral heart broth for bacterial cultures and Sabouraud broth for C. albicans. The cultivation was carried out at a temperature of 37 °C for 24 h. A bacterial suspension for inoculation was prepared from a microbial sediment according to a turbidity standard of 0.5 McFarland in saline. Then, 100 µL of the obtained suspension of microorganisms was inoculated by the "lawn" method using a spatula on the Muller-Hinton medium. Solutions of silver nanoparticles were introduced into wells prepared in agar with a sterile metal punch. Further incubation was carried out for 24 h at 37 °C. RESULTS: colloidal solution of silver nanoparticles at concentrations of 1%, 0.75%, 0.5% inhibited the growth of Str. agalacticae ATCC 3984 with a growth retardation zone of 6-7 mm. The E. faecalis ATCC 29212 strain was sensitive to solutions of silver nanoparticles at concentrations of 1%, 0.75%, 0.5% with a growth inhibition zone of 6-7 mm. Strain St. aureus 4785 demonstrated sensitivity to solutions of silver nanoparticles at concentrations of 1%, 0.75%, 0.5%, 0.1%, 0.05% with a growth retardation zone of 6-8 mm. CONCLUSION: colloidal solutions of silver nanoparticles have antimicrobial action against gram-positive bacteria (Str.agalacticae ATCC 3984, St. aureus ATCC 4785, E. faecalis ATCC 29212) and yeast-like fungi of the genus Candida (C. albicans ATCC 10231, C. albicans 672 and C. albicans D-225M), but this action is strain-specific and depends on the concentration of the solution.

The Application of Nano Silver Argitos as a Final Root Canal Irrigation for the Treatment of Pulpitis and Apical Periodontitis. In Vitro Study.

BACKGROUND: Endodontic treatment of various forms of pulpitis with variations of root canal system anatomy should be performed with high quality. The use of various antibacterial agents is aimed at maintaining the success of endodontic treatment. The aim of this study was to evaluate the penetration and fixation of the nano-silver solution on the dentinal surface during endodontic treatment. MATERIALS AND METHODS: the study was carried out on 70 extracted single-rooted teeth, randomly divided into two groups. In the teeth of the first group, the smear layer was removed after canal preparation with 17% EDTA solution; in the second group, the smear layer was not removed. In both groups, for the final treatment of the canal, a colloidal 1% solution of нанo серебра nanosilver was used. Samples were cut and prepared for analysis using micro-CT, scanning electron microscopy (SEM), X-ray microanalysis and energy dispersive spectrometry (elemental mapping). RESULTS: in 100% of cases in groups of teeth with a preserved smear layer, the ability of a 1% colloidal solution of nanosilver with particles of 1-2 nm to be fixed on dentin with a removed and preserved smear layer and to leave a film on the dentinal surface was established. In the samples with removed smear layer, silver was found in 73.5% of cases. CONCLUSION: The nano-silver solution with a particle size of 1-2 nm proved its ability to penetrate the dentinal surfaces and create a final film covering the dentinal surface of the root canal before applying the sealer.