ABSTRACT
AIM: Evaluate, through computerized tomography, canal transportation and centring ability of RaCe rotary instruments after preparation of mesiobuccal root canals in maxillary molar teeth. METHODOLOGY: Twenty-seven teeth were submitted to three cone beam tomographic analyses, one preoperatively, and two after preparation with file size 35, .02 taper and size 50, .02 taper. Canal transportation and centring ability were measured with reference to the distance between the noninstrumented portion of the root canals and the mesial and distal periphery of the root, compared with images obtained after the preparation with size 35 and 50 instruments. RESULTS: Canal transportation after preparation with the size 35 file was 0.030 +/- 0.253 mm and after the size 50 file was 0.057 +/- 0.317 mm. The centring ratio values after preparation with the size 35 file was 0.42 +/- 0.32 and after the size 50 file was 0.54 +/- 0.29, with no significant statistical difference between the groups. CONCLUSIONS: RaCe instruments allowed the preparation of curved root canals with preparation diameters larger than those normally used with minimal canal transportation and adequate centring ability.
Subject(s)
Dental Instruments , Dental Pulp Cavity/anatomy & histology , Root Canal Preparation/instrumentation , Tooth Apex/anatomy & histology , Cone-Beam Computed Tomography , Dental Pulp Cavity/diagnostic imaging , Equipment Design , Humans , Maxilla , Molar , Tooth Apex/diagnostic imagingABSTRACT
AIM: To describe three cases of extraoral sinus tracts, related to infected teeth, which were initially misdiagnosed as skin lesions and inappropriately treated. SUMMARY: The extraoral sinus tracts were initially misdiagnosed as skin lesions. Dermatological surgery was performed and antibiotics prescribed but the lesions did not resolve. Then, a dental cause was sought, and identified. Endodontic intervention resulted in resolution of the problem, confirming the initial misdiagnosis. KEY LEARNING POINTS: Dermatologists and other medical practitioners should be aware that dental extraoral sinus tracts can be confused with skin lesions. A dental aetiology, as part of a differential diagnosis, should be kept in mind with oro-facial skin lesions. If an extraoral sinus tract is of endodontic origin, then elimination of infection through effective endodontic treatment will lead to resolution of the sinus tract. Early correct diagnosis can prevent unnecessary and ineffective antibiotic therapy and/or surgical intervention.
Subject(s)
Cutaneous Fistula/etiology , Dental Fistula/etiology , Dental Pulp Diseases/complications , Facial Dermatoses/etiology , Adolescent , Adult , Cutaneous Fistula/diagnosis , Cutaneous Fistula/therapy , Dental Fistula/diagnosis , Dental Fistula/therapy , Dental Pulp Diseases/diagnosis , Dental Pulp Diseases/therapy , Dental Pulp Necrosis/complications , Dental Pulp Necrosis/diagnosis , Diagnosis, Differential , Facial Dermatoses/diagnosis , Facial Dermatoses/therapy , Female , Follow-Up Studies , Humans , Male , Periapical Periodontitis/diagnosis , Periapical Periodontitis/etiology , Root Canal Therapy , Treatment OutcomeABSTRACT
OBJECTIVE: The aim of this study was to verify the influence of endodontic sealers on the bond strength of an adhesive system and a resin cement used for carbon posts cementation. METHODS: Thirty extracted human premolars were instrumented and randomly divided into three groups according to the tested sealer: EndoFill, Sealapex, or EndoREZ. Specimens were stored at 37 degrees C. After 48 h, half of specimens were prepared to receive the post and the others after 7 days. The posts were cemented with Adper Single Bond/Rely X ARC and stored in distilled water at 37 degrees C for 7 days. After this period, the specimens were sectioned in three slices (coronal, middle, and apical). The push-out test was performed in a universal machine and the debonded area was examined in a stereomicroscope. RESULTS: Data were submitted ANOVA and Tukey test (alpha = 0.05). The EndoFill showed lower bond strength than other sealers (p < 0.01). The EndoREZ sealer was statistically greater than other groups for coronal and middle portions and similar for apical portion (p > 0.05). Coronal and middle portions showed the best results for all groups, mainly when the canal preparation was performed after 48 h (p < 0.01). Mixed failure occurs with more frequency (55.6%) followed by failure in adhesive-dentin interface (34.4%) and adhesive-post interface (10.0%). CONCLUSION: The use of EndoREZ sealer promoted higher bond strength in root coronal and middle portions when carbon post was fixed with a resin cement.
