Effect of Boric Acid Versus Conventional Irrigation Solutions on the Bond Strength Between Fiber Post and Root Dentin.

PURPOSE: To compare the effect of boric acid solutions of different percentages to conventional irrigation solutions on the adhesive bond strength between fiber posts and radicular dentin surface with different cement types. MATERIALS AND METHODS: One hundred fifteen extracted human incisors were endodontically instrumented to a length of 14-15 mm, and 12-mm post spaces were prepared with specific drills. Cylindrical fiber posts (Panavia Post) were luted with two different composite cements (Panavia F 2.0, Panavia SA) and cut into 1-mm-thick slices. These specimens were randomly allocated to 5 groups according to the irrigant applied: 1. control, no irrigant; 2. 10 ml of 2% chlorhexidine; 3. 10 ml of 5.25% NaOCl for 5 min and 10 ml of 17% EDTA for 3 min; 4. 10 ml of 5% boric acid solution at a temperature of 55°C for 60 s; 5. 10% boric acid solution, conditions as in group 4. Bond strength was determined using the push-out test. Microscopic assessment and SEM evaluations were performed in combination with push-out tests. RESULTS: The push-out bond strengths of cervical segments were significantly higher than for the middle and apical segments in all groups. The type of irrigation solution used significantly affected the bond strengths of the posts. The 10% boric acid solution and EDTA + NaOCl irrigation solutions provided the highest bond strengths (p < 0.005). SEM analysis showed that the dentin tubules were open and the smear layer was completely removed when EDTA/NaOCl and 10% boric acid were used as irrigation agents. CONCLUSION: Boric acid solutions, especially at a concentration of 10%, can be a viable alternative to the conventional irrigants used during endodontic treatment. The extent to which the 10% boric acid solution successfully removed the smear layer and the ease of rinsing boric acid from the root surface are advantageous.

Florid cemento-osseous dysplasia: A rare case report evaluated with cone-beam computed tomography.

A 29-year-old systemically healthy female patient presented to our department. Cone-beam computed tomographic images showed multiple well-defined sclerotic masses with radiolucent border in both right and left molar regions of the mandible. These sclerotic masses were surrounded by a thin radiolucent border. We diagnosed the present pathology as florid cemento-osseous dysplasia and decided to follow the patient without taking biopsy. For the patient, who did not have any clinical complaints, radiographic followupis recommended twice a year. The responsibility of the dentist is to ensure the follow-up of the diagnosed patients and take necessary measures for preventing the infections.

The color differences of direct esthetic restorative materials after setting and compared with a shade guide.

BACKGROUND: The authors conducted a study to evaluate esthetic restorative materials' color differences after setting and color matching between set materials and a shade guide. MATERIALS AND METHODS: The authors evaluated 13 resin-based composites, one silorane-based composite, two polyacid-modified resin composites and one conventional glass ionomer cement. They measured the color parameters of the samples, which were 8 millimeters in diameter and 1.5 mm in thickness, before and after they were set according to the Commission International de l'Eclairage (CIE) L*a*b* color scale relative to standard illumination against a white background by means of a dental colorimeter. They also compared the final colors of the restorative materials with a shade guide. RESULTS: Color difference values for each restorative material ranged from 3.25 to 14.04. With the exception of Fuji IX (GC, Tokyo), Filtek P60 (3M ESPE) and Te-Econom (Ivoclar Vivadent), the restorative materials exhibited a perceptible color change after setting. Color difference values between the set materials and the shade guide tabs ranged from 1.86 to 11.83. With the exception of Filtek Supreme XT (3M ESPE) and Fuji IX, the materials exhibited a perceptible difference. CONCLUSION: Most of the materials tested exhibited a significant color change after polymerization and did not match the shade guide tab after undergoing light curing.

Treatment of traumatized maxillary permanent lateral and central incisors horizontal root fractures.

Traumatic injuries of teeth are the main cause of emergency treatment in dental practice. Horizontal root fractures are more frequently observed in the maxillary anterior region and young male patients. The most common type of root fracture is in the middle third, followed by apical, and coronal part. This case report describes two horizontal root fractures of the maxillary right central and lateral incisors due to a sport injury. The lateral incisor was healed satisfactorily without treatment. The central incisor was endodontically treated.

Reattachment of coronal fragment using fiber-reinforced post: a case report.

Coronal fractures of permanent dentition are the most frequent type of dental injury. If the original tooth fragment is retained following fracture, the natural tooth structures can be reattached using adhesive protocols. The development and use of fiber-reinforced composite root canal posts make possible of the reattachment of the crown esthetically. This case report presents a clinical technique to reattachment maxillary lateral incisor tooth after trauma using direct fiber-reinforced post systems. At the 1-year follow-up, a slightly marginal discoloration, but no recurrent decay or composite clefts were detected and the resultant appearance was acceptable to the patient.