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Apical periodontitis in mesiobuccal roots of maxillary molars: influence of anatomy and quality of root canal treatment, a CBCT study
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Samantha Jannone Carrion, Marcelo Santos Coelho, Adriana de Jesus Soares, Marcos Frozoni
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Restor Dent Endod 2022;47(4):e37. Published online September 19, 2022
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DOI: https://doi.org/10.5395/rde.2022.47.e37
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Abstract
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This study aimed to evaluate the prevalence of apical periodontitis (AP) in the mesiobuccal roots of root canal-treated maxillary molars. Materials and MethodsOne thousand cone-beam computed tomography images of the teeth were examined by 2 dental specialists in oral radiology and endodontics. The internal anatomy of the roots, Vertucci’s classification, quality of root canal treatment, and presence of missed canals were evaluated; additionally, the correlation between these variables and AP was ascertained. ResultsA total of 1,000 roots (692 first molars and 308 second molars) encompassing 1,549 canals were assessed, and the quality of the root canal filling in the majority (56.9%) of the canals was satisfactory. AP was observed in 54.4% of the teeth. A mesiolingual canal in the mesiobuccal root (MB2 canal) was observed in 54.9% of the images, and the majority (83.5%) of these canals were not filled. Significant associations were observed between the presence of an MB2 canal and the quality of the root canal filling and the presence of AP. ConclusionsAP was detected in more than half of the images. The MB2 canals were frequently missed or poorly filled.
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Citations
Citations to this article as recorded by 
- Anatomical Configuration of the MB2 Canal Using High-Resolution Cone-Beam Computed Tomography
Luciana Magrin Blank-Gonçalves, Emmanuel João Nogueira Leal da Silva, Monikelly do Carmo Chagas Nascimento, Ana Grasiela Limoeiro, Luiz Roberto Coutinho Manhães-Jr Journal of Endodontics.2025;[Epub] CrossRef - Retrospective study of the morphology of third maxillary molars among the population of Lower Silesia based on analysis of cone beam computed tomography
Anna Olczyk, Barbara Malicka, Katarzyna Skośkiewicz-Malinowska, Mohmed Isaqali Karobari PLOS ONE.2024; 19(2): e0299123. CrossRef - Relationship between apical periodontitis and missed canals in mesio-buccal roots of maxillary molars: CBCT study
Badi B. Alotaibi, Kiran I. Khan, Muhammad Q. Javed, Smita D. Dutta, Safia S. Shaikh, Nawaf M. Almutairi Journal of Taibah University Medical Sciences.2024; 19(1): 18. CrossRef - APICAL PERIODONTITIS IN MAXILLARY MOLARS WITH MISSED SECOND MESIO-BUCCAL ROOT CANAL: A CBCT STUDY
Cristina Coralia Nistor, Ioana Suciu , Ecaterina Ionescu , Anca Dragomirescu , Elena Coculescu , Andreea Baluta Romanian Journal of Oral Rehabilitation.2024; 16(3): 100. CrossRef - Anatomic Comparison of Contralateral Maxillary Second Molars Using High-Resolution Micro-CT
Ghassan Dandache, Umut Aksoy, Mehmet Birol Ozel, Kaan Orhan Symmetry.2023; 15(2): 420. CrossRef
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Effect of intracanal medications on the interfacial properties of reparative cements
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Andrea Cardoso Pereira, Mariana Valerio Pallone, Marina Angélica Marciano, Karine Laura Cortellazzi, Marcos Frozoni, Brenda P. F. A. Gomes, José Flávio Affonso de Almeida, Adriana de Jesus Soares
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Restor Dent Endod 2019;44(2):e21. Published online May 9, 2019
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DOI: https://doi.org/10.5395/rde.2019.44.e21
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Abstract
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The purpose of the present study was to evaluate the effect of calcium hydroxide with 2% chlorhexidine gel (HCX) or distilled water (HCA) compared to triple antibiotic paste (TAP) on push-out bond strength and the cement/dentin interface in canals sealed with White MTA Angelus (WMTA) or Biodentine (BD). Materials and MethodsA total of 70 extracted human lower premolars were endodontically prepared and randomly divided into 4 groups according to the intracanal medication, as follows: group 1, HCX; group 2, TAP; group 3, HCA; and group 4, control (without intracanal medication). After 7 days, the medications were removed and the cervical third of the specimens was sectioned into five 1-mm sections. The sections were then sealed with WMTA or BD as a reparative material. After 7 days in 100% humidity, a push-out bond strength test was performed. Elemental analysis was performed at the interface, using energy-dispersive spectroscopy. The data were statistically analyzed using analysis of variance and the Tukey test (p < 0.05). ResultsBD presented a higher bond strength than WMTA (p < 0.05). BD or WMTA in canals treated with calcium hydroxide intracanal medications had the highest bond strength values, with a statistically significant difference compared to TAP in the WMTA group (p < 0.05). There were small amounts of phosphorus in samples exposed to triple antibiotic paste, regardless of the coronal sealing. ConclusionsThe use of intracanal medications did not affect the bond strength of WMTA and BD, except when TAP was used with WMTA.
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Citations
Citations to this article as recorded by 
- Effects of calcium hydroxide intracanal medicament on push‐out bond strength of endodontic sealers: A systematic review and meta‐analysis
Mohammed Nasser Alhajj, Fadhilah Daud, Sadeq Ali Al‐Maweri, Yanti Johari, Zuryati Ab‐Ghani, Mariatti Jaafar, Yoshihito Naito, Widyasri Prananingrum, Zaihan Ariffin Journal of Esthetic and Restorative Dentistry.2022; 34(8): 1166. CrossRef - Evaluation of a Novel Tool for Apical Plug Formation during Apexification of Immature Teeth
Yasser Alsayed Tolibah, Line Droubi, Saleh Alkurdi, Mohammad Tamer Abbara, Nada Bshara, Thuraya Lazkani, Chaza Kouchaji, Ibrahim Ali Ahmad, Ziad D. Baghdadi International Journal of Environmental Research and Public Health.2022; 19(9): 5304. CrossRef - Spectrophotometric analysis of internal bleaching of traumatized teeth with coronal discoloration following regenerative endodontic procedures
Jaqueline Lazzari, Walbert Vieira, Vanessa Pecorari, Brenda Paula Figueiredo de Almeida Gomes, José Flávio Affonso de Almeida, Adriana De-Jesus-Soares Brazilian Journal of Oral Sciences.2021;[Epub] CrossRef - Do intracanal medications used in regenerative endodontics affect the bond strength of powder-to-liquid and ready-to-use cervical sealing materials?
MarinaCarvalho Prado, Kevillin Martiniano, AndreaCardoso Pereira, KarineL Cortellazzi, MarinaA Marciano, Gabriel Abuna, Adriana de-Jesus-Soares Journal of Conservative Dentistry.2021; 24(5): 464. CrossRef
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