The color stability of interim computer-aided design and computer-assisted manufacturing (CAD/CAM) materials has not been exhaustively investigated. The aim of this study was to compare the translucency (TP) and contrast ratio (CR) of... more
The color stability of interim computer-aided design and computer-assisted manufacturing (CAD/CAM) materials has not been exhaustively investigated. The aim of this study was to compare the translucency (TP) and contrast ratio (CR) of CAD/CAM blocks and conventional interim materials, as well as the effects of varnish application and tooth-brushing on color stability after immersion in different staining solutions. Four hundred and eighty specimens were fabricated with four different interim materials (n = 120) and were divided into three experimental, and one control group (n = 30). The color measurements were taken at the initial time (T0), 24 h (T1), 7 days (T2), and 30 days (T3) after immersion in different solutions. CIEDE2000 (ΔE00) values were analyzed with ANOVA and Fischer’s LSD test with a 95% confidence interval. The relationship between TP and CR was analyzed with a Pearson correlation. All interim materials showed a significant difference (p < 0.05) in color change a...
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ObjectiveTooth autotransplantation with a complete root formation to replace one or more lost teeth is indicated as a cost‐effective alternative to implants. The aim of this case report was to describe a successfully guided... more
ObjectiveTooth autotransplantation with a complete root formation to replace one or more lost teeth is indicated as a cost‐effective alternative to implants. The aim of this case report was to describe a successfully guided autotransplantation of a maxillary third molar with fully formed roots into a surgically created socket after orthodontic space opening.Clinical considerationsA guided autotransplantation of the maxillary left third molar into the missing maxillary left first molar site was chosen. After virtually orientating donor tooth to confirm its optimum fit, it was deemed necessary to open 4 mm the mesiodistal space. Following the orthodontic movement, a 3‐dimensional (3D)‐guiding template and a milled surgical guide were manufactured to allow the donor tooth to be transplanted exactly in the planned position. The 2‐year follow‐up periapical radiograph showed a continuous periodontal space with no signs of apical periodontitis or root resorption.ConclusionsVirtual planning...
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The aim of this study was to evaluate the WaveOne Gold and One Shape New Generation systems regarding the bacterial removal from root canals infected with Enterococcus faecalis by comparing them to the conventional WaveOne and One Shape... more
The aim of this study was to evaluate the WaveOne Gold and One Shape New Generation systems regarding the bacterial removal from root canals infected with Enterococcus faecalis by comparing them to the conventional WaveOne and One Shape systems. Forty-eight distobuccal root canals of maxillary molars sterilized with ethylene oxide were infected with E. faecalis for 21 days, and then root canal initial bacterial sample was collected with paper cones and plated on M-enterococcus agar. The specimens were randomly divided into 4 groups according to the instrumentation: WaveOne Gold, One Shape New Generation, WaveOne and One Shape. After instrumentation, samples were collected with use of scraping and paper cones at immediate and 7 days after instrumentation. The bacterial reduction was calculated and then made intragroup analysis by Friedman test and intergroup analysis by Kruskal-Wallis with Dunn’s post-hoc test, all at 5% significance. All techniques significantly reduced the number o...
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Autotransplantation exhibits a number of advantages compared with other treatment options (ie, dental implants or fixed partial prostheses), such as greater resistance to occlusal loading, maintenance of the periodontal ligament and... more
Autotransplantation exhibits a number of advantages compared with other treatment options (ie, dental implants or fixed partial prostheses), such as greater resistance to occlusal loading, maintenance of the periodontal ligament and surrounding bone, and the potential for better esthetics. The aim of this study was to determine clinical outcomes for autotransplanted teeth with complete root formation using 3-dimensional-printed guiding templates and tooth replicas. Twenty-seven third molars with completely formed roots were autotransplanted. Each donor tooth and recipient site were examined clinically and radiographically (periapical radiographs). A selective cone-beam computed tomographic scan was taken of each donor tooth and recipient site. The images of the selected donor teeth were segmented and saved as stereolithography files. Similar to virtual planning of dental implants, correct angulation, rotation, and accurate positioning of the donor teeth were predefined using the ste...
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Evidence-based research appears to conflict on the potential risk of electromagnetic interference (EMI) between piezoelectric units (Pzs) and implantable cardioverters and defibrillators (ICDs). The purpose of this study was to observe... more
Evidence-based research appears to conflict on the potential risk of electromagnetic interference (EMI) between piezoelectric units (Pzs) and implantable cardioverters and defibrillators (ICDs). The purpose of this study was to observe whether the EMI produced by Pzs is hazardous for ICDs. A cross-sectional study of 6 Pzs was conducted in vitro for EMI using an ICD system. To simulate the human body&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s electrical resistance, electrographic recordings were made of the ICD and lead that were immersed in a bath of saline solution. The variables investigated were the presence of EMI, the distance between the ICD and the Pz, and signal intensity, damage, and type of damage to the ICD and lead. Each series of tests was repeated 3 times, beginning with a 15-second baseline recording (control), until all recording conditions had been covered. Each Pz was recorded under the following conditions: less than 2 cm from the tip of the ICD lead; less than 2 cm from the ICD; less than 2 cm from the lead body and coils; and 15 cm from the lead or the ICD (R4). In the positive control (direct contact between the lead or the ICD with the Pz switched on), the ICD detected electrical activity as false heart activity. However, after covering all test conditions, no EMI was produced by the Pzs. No EMI or permanent changes in the functioning of the ICD were detected in vitro.
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Treatment options for endodontic failure include nonsurgical or surgical endodontic retreatment, intentional replantation, and extraction with or without replacement of the tooth. The aim of the present study was to determine the impact... more
Treatment options for endodontic failure include nonsurgical or surgical endodontic retreatment, intentional replantation, and extraction with or without replacement of the tooth. The aim of the present study was to determine the impact of cone-beam computed tomographic (CBCT) imaging on clinical decision making among general dental practitioners and endodontists after failed root canal treatment. A second objective was to assess the self-reported level of difficulty in making a treatment choice before and after viewing a preoperative CBCT scan. Eight patients with endodontically treated teeth diagnosed as symptomatic apical periodontitis, acute apical abscess, or chronic apical abscess were selected. In the first session, the examiners were given the details of each case, including any relevant radiographs, and were asked to choose 1 of the proposed treatment alternatives and assess the difficulty of making a decision. One month later, the examiners reviewed randomly the same 8 cas...
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The aim of the present study was to compare clinically the incidence of postoperative pain after endodontic treatment using the Reciproc System, taking into account the operator's experience. One hundred patients scheduled for routine... more
The aim of the present study was to compare clinically the incidence of postoperative pain after endodontic treatment using the Reciproc System, taking into account the operator's experience. One hundred patients scheduled for routine endodontic treatment were enrolled in this study. Endodontic treatment was carried out in a single visit by undergraduate and postgraduate students. The chemomechanical preparation of root canals was performed with Reciproc instruments. Pretreatment and postoperative pain was recorded using a visual analogue scale (VAS). Postoperative pain and the need for analgesic consumption were assessed at 4, 8, 16, 24, 48 and 72 hours post-treatment. The data were analyzed using the Mann-Whitney U and Chi-Square test, and the significance was set at P<0.05. The mean value of pain after root canal treatment was 1.13±1.94 and 1.91±2.07 on a VAS between 0 and 10 in treatments performed by undergraduate and postgraduate students, respectively. There was a sign...
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Clinical information and diagnostic imaging are essential components of preoperative diagnosis. The aim of this study was to determine the influence of cone-beam computed tomographic (CBCT) imaging on clinical decision-making choices... more
Clinical information and diagnostic imaging are essential components of preoperative diagnosis. The aim of this study was to determine the influence of cone-beam computed tomographic (CBCT) imaging on clinical decision-making choices among different specialists (prosthodontists, endodontists, oral surgeons, and periodontists) in endodontic treatment planning. A secondary objective was to assess the self-reported level of difficulty in making a treatment choice before and after viewing a preoperative CBCT scan. In accordance with the endodontic case difficulty guidelines of the American Association of Endodontists, 30 endodontic cases with varying degrees of complexity were selected. Each case included clinical photographs, digital periapical radiographs, and a small-volume CBCT scan. In the first evaluation, examiners were given all the information of each case, except the CBCT scan. Examiners were asked to select one of the proposed treatment alternatives and assess the difficulty ...
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AimTo evaluate the presence or absence of periapical (PA) radiolucencies on individual roots of teeth with necrotic pulps, as assessed with digital PA radiographs and cone‐beam computed tomography (CBCT).MethodologyDigital PA radiographs... more
AimTo evaluate the presence or absence of periapical (PA) radiolucencies on individual roots of teeth with necrotic pulps, as assessed with digital PA radiographs and cone‐beam computed tomography (CBCT).MethodologyDigital PA radiographs and CBCT scans were taken from 161 endodontically untreated teeth (from 155 patients) diagnosed with non‐vital pulps (pulp necrosis with normal PA tissue, symptomatic apical periodontitis, asymptomatic apical periodontitis, acute apical abscess and chronic apical abscess). Images were assessed by two calibrated endodontists to analyse the radiographic PA status of the teeth. A consensus was reached in the event of any disagreement. The data were analysed using a McNemar's test, and significance was set at P ≤ 0.05.ResultsThree hundred and forty paired images of roots were assessed with both digital PA radiographs and CBCT images. Fifteen additional roots were identified with CBCT. PA radiolucencies were present in 132 (38.8%) roots when assessed...
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Cone beam computed tomography (CBCT) produces undistorted three‐dimensional information of the maxillofacial skeleton, including the teeth and their surrounding tissues with a lower effective radiation dose than computed tomography. The... more
Cone beam computed tomography (CBCT) produces undistorted three‐dimensional information of the maxillofacial skeleton, including the teeth and their surrounding tissues with a lower effective radiation dose than computed tomography. The aim of this paper is to: (i) review the current literature on the applications and limitations of CBCT; (ii) make recommendations for the use of CBCT in Endodontics; (iii) highlight areas of further research of CBCT in Endodontics.
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Gonzalez Sanchez JA, Duran‐Sindreu F, Albuquerque Matos M, Garcia Carabaño T, Mercade Bellido M, Morello Castro S, Roig Cayón M. Apical transportation created using three different patency instruments. International Endodontic Journal 43,... more
Gonzalez Sanchez JA, Duran‐Sindreu F, Albuquerque Matos M, Garcia Carabaño T, Mercade Bellido M, Morello Castro S, Roig Cayón M. Apical transportation created using three different patency instruments. International Endodontic Journal 43, 560–564, 2010.Aim To evaluate root canal transportation at the major foramen through the use of stainless steel size 08 K‐Flex files, size 10 reamers, and XF finger spreaders when used as patency instruments.Methodology One hundred and two mesiobuccal canals of maxillary and mandibular first molars were randomly divided into three groups (34 canals each). Size 08 stainless steel K‐Flex files, size 10 stainless steel reamers and stainless steel XF finger spreaders were used as patency instruments in groups A, B and C respectively. The major foramen was photographed before and after instrumentation. The images were superimposed and then evaluated using Photoshop® to determine the frequency of apical transportation. The statistic analysis was perfor...
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AimTo assess the effects of six electronic apex locators (EALs) on pacemaker function in vitro.MethodologySix EALs (Mini Apex Locator®, Dentaport ZX®, Novapex®, Raypex5®, Root ZX mini®, and Justy II®) were tested for electromagnetic... more
AimTo assess the effects of six electronic apex locators (EALs) on pacemaker function in vitro.MethodologySix EALs (Mini Apex Locator®, Dentaport ZX®, Novapex®, Raypex5®, Root ZX mini®, and Justy II®) were tested for electromagnetic interference (EMI) with one pacemaker (Saint Jude Medical). The pacemaker, with a single electrode, was immersed in a saline solution bath adjusted to 400–800 ohms to simulate the electrical resistance of the human body and to register the activity by the system. The pacemaker was tested with each of the EALs to analyse the presence of EMI with the EAL switched on, the EAL switched off and during EAL operation. Each series of tests began with a 15‐second baseline recording (R0) and continued until all the recording conditions had been covered. The conditions were as follows: R1: recording with the lead of the EAL <2 cm from the tip of the electrode; R2: recording with the lead of the EAL <2 cm from the generator; R3: recording with the lead of the ...
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To evaluate the effect of academic training on decision-making in a group of undergraduates who have undergone training in endodontics and implantology. A single group of undergraduate dentistry students (n = 65) was given a survey... more
To evaluate the effect of academic training on decision-making in a group of undergraduates who have undergone training in endodontics and implantology. A single group of undergraduate dentistry students (n = 65) was given a survey consisting of 15 endodontic cases. Each case included periapical radiographs and clinical photographs. Students were asked to select one of the eight proposed treatments. In their 4th year, the students first responded to the survey after completing endodontics. One year later, after completing their studies in implantology, the same students completed the same survey again. Under the conditions of this study, differences in undergraduate training significantly affected treatment decisions. Undergraduate decision-making was affected by academic training.
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Summary The porcelain veneers represent a conservative alternative aesthetic solution to correct tooth form and position. The recent advances in adhesive techniques and on new ceramic systems have made this technique an alternative... more
Summary The porcelain veneers represent a conservative alternative aesthetic solution to correct tooth form and position. The recent advances in adhesive techniques and on new ceramic systems have made this technique an alternative therapeutic treatment due to its high aesthetic quality. We present a clinical case of rehabilitation of the anterior sector using felspathic porcelain veneers.
OBJECTIVE: To evaluate the optical integration and fluorescence of three contemporary restorative materials used for incisoproximal restorations.METHOD AND MATERIALS: A microfilled hybrid composite (Amaris, VOCO; MHC), a nanofilled hybrid... more
OBJECTIVE: To evaluate the optical integration and fluorescence of three contemporary restorative materials used for incisoproximal restorations.METHOD AND MATERIALS: A microfilled hybrid composite (Amaris, VOCO; MHC), a nanofilled hybrid composite (Grandio, VOCO; NHC), and an experimental ormocer (VOCO; ORM) were used to consecutively restore 10 extracted incisors with incisoproximal restorations using the natural layering concept, mimicking the natural anatomy of the tooth. Before and after placement of each restoration, the teeth were photographed under standardized conditions (direct, indirect, and fluorescent light), and spectrophotometric measurements (SpectroShade, Handy Dental Type 713000, MHT) were made using a black-and-white background. Between measurements, the teeth were allowed to rehydrate for 2 weeks. Ten independent evaluators scored each light condition using an optical integration score on a scale from 0 to 10 (0 = worst optical integration, restoration can be easily distinguished from remaining tissue; 10 = optimal optical integration). Differences in L*a*b and DE values and optical integration scores were statistically analyzed using ANOVA.RESULTS: MHC obtained the highest optical integration and fluorescence scores (P < .01), followed by NHC, although there were no statistically significant differences found among DE of the restorative materials. ORM achieved the worst optical integration and fluorescence.CONCLUSION: The microfilled hybrid composite obtained the highest optical integration scores (P < .01), followed by the nanofilled hybrid composite. The experimental ormocer showed the least favorable optical behavior. Spectrophotometric measurements showed no statistically significant differences among all three restorative materials.
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To determine the changes in surface gloss of different composite materials after laboratory toothbrushing simulation. 36 specimens were fabricated for each material and polished with 120-, 220-, 500-, 1200-, 2400- and 4000-grit SiC... more
To determine the changes in surface gloss of different composite materials after laboratory toothbrushing simulation. 36 specimens were fabricated for each material and polished with 120-, 220-, 500-, 1200-, 2400- and 4000-grit SiC abrasive paper, respectively. Gloss measurements were made with a glossmeter (Novocurve) prior to testing procedures and then subjected to simulated toothbrushing for 5, 15, 30 and 60 minutes by means of an electric toothbrush with a pressure of 2N while being immersed in a 50 RDA toothpaste slurry. Four supplementary samples per group were analyzed under SEM immediately after polishing procedures and four samples after 60 minutes simulated toothbrushing in order to evaluate the causes of the gloss decrease. The tested resin composite materials were Filtek Supreme XTE, Durafill, HRi Enamel Plus, Miris 2, Empress Direct, Venus Diamond, Gradia Direct, Clearfil Photo Posterior and G-aenial. Natural enamel represented the control group. Statistical analysis was performed using Kruskal Wallis and Tukey post-hoc test, with a level of significance set at 0.05. Resin composite initial gloss values ranged from 68.9 to 100.5 at baseline to 10.6 to 62.6 after 1 hour of brushing. Highest gloss values were obtained by Filtek Supreme XTE, followed by Empress Direct and Durafill. Lowest values were obtained by Clearfil Photoposterior, Miris 2, Enamel HRi and Venus Diamond. Natural enamel was the only substrate to maintain its gloss throughout the brushing procedure (110.4 after 60 minutes). SEM analysis revealed different patterns of surface degradation depending on the composite material.
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Loss of tooth substance has become a common pathology in modern society. It is of multifactorial origin, may be induced by a chemical process or by excessive attrition, and frequently has a combined etiology. Particular care should be... more
Loss of tooth substance has become a common pathology in modern society. It is of multifactorial origin, may be induced by a chemical process or by excessive attrition, and frequently has a combined etiology. Particular care should be taken when diagnosing the cause of dental tissue loss, in order to minimize its impact. Several publications have proposed the use of minimally invasive procedures to treat such patients in preference to traditional full-crown rehabilitation. The use of composite resins, in combination with improvements in dental adhesion, allows a more conservative approach. In this paper, we describe the step-by-step procedure of full-mouth composite rehabilitation with v-shaped veneers and ultra-thin computer-aided design/computer-assisted manufacture (CAD/CAM)- generated composite overlays in a young patient with a combination of erosion and attrition disorder.
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The aim of this study was to compare the microtensile bond strength of three different total etch adhesives: XP Bond (Caulk-Dentsply) versus Excite (Ivoclar/Vivadent) and Prime & Bond NT (Caulk-Dentsply). Forty two (42) third human molars... more
The aim of this study was to compare the microtensile bond strength of three different total etch adhesives: XP Bond (Caulk-Dentsply) versus Excite (Ivoclar/Vivadent) and Prime & Bond NT (Caulk-Dentsply). Forty two (42) third human molars were cut to expose the dentinal surface. They were divided into three groups of 14 teeth (GI: XP Bond, G2: Excite, G3: Prime & Bond NT) and two groups of seven teeth for each moisture condition: moist dentin (GM) and dry dentin, (GD). The total-etch technique was used with each moisture variation. The adhesives and composites A3 (Ceram Duo GI, G3 and Tetric Ceram G2) were applied according to manufacturer's instructions. Teeth were cut with an ISOMET 1000 (Buehler Ltd.) to obtain 1 mm2 x 10 mm bars, which were subject to a traction test at 5 mm/min in a universal testing machine (Adamel Lhomargy DY 36). The collected data were recorded and analyzed using an experimental design for studying two factors offixed effrcts with software Statgraphics ...