Educational teaching of the diagnosis of resorbed root for pulpectomy in deciduous teeth radiography has always been a big challenge in pediatric dentistry. The purpose of the study was to propose a new practical methodology to improve the quality of learning in students of dentistry.Extracted deciduous teeth were molded in the transparent epoxy resin as their real position in the jawbone. Then, their own pre-extraction radiographs were attached to them. Forty dental students were randomly allocated to the control group of conventional teaching and experimental group of natural model training. All participants were attended in a validated exam and the data were analyzed. A questionnaire was designed with an answer choice in Lickert scale to measure the students' attitude towards the new method and finally the data were reported with descriptive statistics.The mean of the learning degree in the experimental group was graded 9.2± 3.2 and was significantly higher than 5.8± 1.1 which belongs to the participants of the conventional method as control (p= 0.04 <0.05).Considering the limitation of this study, using natural models in radiography training will improve the diagnostic competency and the student's educational satisfaction in pediatric dentistry.
A pulpectomy requires the swift extraction of the inflamed tissue. Moreover, the speed of treatment is especially important in the case of uncooperative children. Conventional pulpectomies, however, often require an extended treatment period, which can therefore cause problems with such patients. Electrosurgical methods have been applied to pulpotomies for a number of years. However, to the best of our knowledge, no studies to date have assessed its application to pulpectomies. The aim of this study was to compare clinical and radiographic success rates over a 6-month follow-up period between conventional and electrosurgical pulpectomies. A total of 50 children aged 4 to 8 years were enrolled in this randomized clinical trial. A pulpectomy of the first and second primary molar teeth was seen as the optimal treatment plan in all these patients. One group was treated using the conventional method (C group, 25 teeth) and the other with electrosurgery (ES group, 25 teeth). The patients were evaluated for the presence of pain, mobility, abscess, sinus tract, erythema, tenderness to percussion, internal and external root resorption, and radiolucency. Clinical and radiographic success rates and total working time were assessed. The Fisher's exact test and Mann-Whitney U-test were used for the statistical analysis. After 6 months of follow-up, the clinical and radiographic success rates were 90.5 and 85.7%, respectively, in the ES group, compared with 88.9 and 72.2%, respectively, in the C group. No statistically significant difference was observed between the two groups (p>0.05). Working time, however, was significantly shorter in the ES group (p<0.001). This suggests that pulpectomy with electrosurgery reduces treatment time, and is therefore quite useful in situations where duration of the treatment course is of crucial concern.
Introduction: The objective of this study was to gather information about normal occlusion and arch dimensions in the primary teeth of the children belonging to an Iranian population. Methods: This descriptive cross-sectional study was performed on 68 children from the city of Mashhad in the 3-5 age range. Dental arch dimensions, interrelationships of primary canine and second molars, overbite and overjet were evaluated. Results: Primate space was observed on both sides of the arch in 82.2% of the subjects. The most prevalent type of primary molar relationship was flush terminal plane (52.1%) followed by distal step (31.3%) and then mesial step (16.7%). The primary canine relationship was ranked in the descending order of prevalence as Class I (77.1%), Class II (13.5%), end-to-end (5.2%) and Class III (4.2%). Normal overbite and normal overjet was observed in 50% and 81.3% of cases, respectively. Conclusion: This study provides an insight into the dental arch dimensions, occlusion, spacing and crowding in primary dentition in Iranian children. In most of the cases, primate space and flush terminal plane were observed.
Microorganisms have been considered to have played a critical role in the initiation and development of pulpo-periapical diseases. Some evidences have shown that mechanical instrumentation may leave considerable portions of canal surfaces undebrided. Therefore, some supplemental methods, such as the use of chemical solutions and/or lasers, have been introduced to further disinfect the complicated canal anatomy and destroy as many microorganisms as possible. The purpose of this review was to address a brief review of characteristics of lasers and their effects to disinfect the root canal in endodontics.
Saliva contamination is a major clinical problem in restorative procedures. The purpose of this study was to evaluate the effect of the time of salivary contamination during light curing on the degree of conversion and the microhardness of a restorative composite resin. Eight groups of 10 samples for measuring the microhardness and eight groups of 5 samples for evaluating the degree of conversion were prepared. The samples of each group were contaminated with human saliva at a certain time. The first group (T0) was contaminated before light curing. The specimens in groups T2–T30 were contaminated at 2, 5, 10, 15, 20 and 30 s after the start of light curing, respectively. The samples of group T40 were contaminated after light curing. The degree of conversion and the microhardness of the specimens were measured by Fourier transform infrared (FTIR) spectroscopy and Vickers hardness testing techniques, respectively. The results of this study revealed that there were no significant differences between the groups in terms of the degree of conversion of the composite resin. Consistent with the findings for the degree of conversion, significant differences in the microhardness between the groups were not found. In conclusion, from a clinical point of view, the results of our study showed that the time of salivary contamination (before, during or after light curing of composite resin) has no significant effect on the polymerization (degree of conversion) and one of the important mechanical properties of dental composite resins (microhardness).
Introduction : Saliva contamination is an inevitable and common challenge in the field of restorative dentistry. Recognizing and considering the key time of isolation is an effective strategy to prevent the deleterious effects of salivary contamination. The purpose of this study was to evaluate the effect of salivary contamination in the course of light curing on microshear bond strength and microleakage of a restorative composite resin. Methods: 140 human third molars were divided into seven groups each containing 10 samples for measuring the microleakage and the microshear bond strength. The specimen of each group was contaminated with human saliva at a certain time, while group1 was contaminated in prior to light curing. The samples in groups 2 to 7 were contaminated with saliva at 2, 5, 10, 15, and 20 s after the start of light curing, respectively. The specimens of group7 were light cured and contaminated afterwards with human saliva. Results: According to the gathered results, the time of saliva contamination had significant negative effects on the microshear bond strength to the dentin and enamel in the course of light curing throughout the first 2s and 5s, respectively. It was indicated by the microleacage test that the saliva contamination in the first 2s, 5s, and 10s during light curing had a higher microleakage than the other times. Conclusion: In conclusion, during light curing of the composite resin, the first 10s was high sensitive to saliva contamination and therefore the isolation is very important in this time.
Due to the unfavorable properties of eugenol, the eugenol content can be reduced to improve the properties of zinc oxide eugenol (ZOE) by making a new combination of nanocurcumin called curcumin pulpal paste (CPP).The aim of this in vitro study was to evaluate the solubility and tooth discoloration of three concentrations of CPP compared to ZOE, and Metapex.In this in vitro study for evaluating of the solubility, five groups including ZOE, Metapex, and three concentrations of CPP (5%, 10%, and 20%) were tested. For evaluating the solubility, the changes in of the weight of samples were measured at 1, 3, 7 and 30 days after initial setting. In order to evaluate the tooth discoloration, 75 bovine maxillary anterior teeth were filled with one of five pulpal pastes. The changes in tooth color were evaluated at 1 hour, 1 week, 1 and 3 months after material placement.The solubility increased by increasing the nano-curcumin percentage in CPPs. After 30 days, the solubility of the 5%CPP, and ZOE was not significantly different (p= 1.000). According to the colorimetric test, after 3 months, the highest discoloration was recorded for 20% CPP (8.45), and the smallest discoloration was registered for Metapex (4.06). The discoloration of 5% CPP, and 10% CPP was similar to ZOE's color change (p> 0.05).The results of the present study showed that the solubility of pulpal paste has increased with increasing curcumin concentrations. Therefore, pulpal paste with different nanocurcumin concentrations can be used considering the patient's age and the desired time of deciduous tooth loss, and dissolution of pulpal paste. Concerning the discoloration after 3 months, Metapex was the best material and the most discoloration rate was related to 20% CPP, and there was no difference between the 5% CPP, and 10% CPP with ZOE.
Microorganisms should be considered to have the major role in starting and perpetuation of pulpo-periapical diseases. Using intracanal medicaments is necessary to gain a bacteria-free environment in the canal system. Calcium hydroxide (abbreviated as Ca(OH)2), which is the most commonly used medicament in endodontic therapy, has been shown to be effective against primary sources of infection; however, its effectiveness against some microorganisms, such as Candida albicans and Enterococcus faecalis has not been proved. On the other hand, sodium hypochlorite (NaOCl), chlorhexidine (CHX), and iodine potassium iodide (IKI) have been shown to be the potent medicaments against these microorganisms. Because of this fact, combination of Ca(OH)2 and some irrigants of the root canal has been suggested as potential intracanal medicaments. The aim of this literature review is to identify and address the efficacy of Ca(OH)2 in combined with some of these irrigating solutions.
Background: This study aimed to assess the biocompatibility of different concentrations of a nano-curcumin pulpal paste in rats. Materials and Methods: Polyethylene tubes containing zinc oxide eugenol (ZOE), Metapex, and 2, 4, 6, and 8 ppm nano-curcumin pulpal paste, and an empty tube as the negative control were implanted in the back of 30 Wistar rats (7 tubes per each rat). The rats were sacrificed after 15, 30, and 60 days (10 rats at each time point). The tissue around the tubes underwent histopathological analysis. After hematoxylin and eosin staining, the specimens were evaluated for presence/absence of necrosis and calcification, number of inflammatory cells, and thickness of soft tissue capsule. Data were analyzed by the Chi-square, Mann-Whitney, and Kruskal-Wallis tests (α=0.05). Results: Necrosis was not seen in any group at any time point. No significant difference existed among the experimental groups regarding calcification at different time points (P>0.05). The fibrotic capsule was thin in all experimental groups at all time points. Rate of inflammation decreased in all experimental groups from day 15 to day 60. Among different concentrations, only 2 ppm concentration of nano-curcumin paste had no significant difference with Metapex and ZOE regarding inflammation at different time points.Conclusion: All tested concentrations of nano-curcumin pulpal paste were biocompatible, compared with the positive controls (ZOE and Metapex); but 2 ppm concentration was the most biocompatible. Within the limitations of this in vitro study, 2 ppm concentration of nano-curcumin may be suggested for further experiments.
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