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Research Articles
Fracture resistance and failure modes of endodontically-treated permanent teeth restored with Ribbond posts vs other post systems: a systematic review and meta-analysis of in vitro studies
Meghana Aditya Vartak, Vibha Rahul Hegde, Sanitra Rahul Hegde, Ushaina Fanibunda
Restor Dent Endod 2025;50(1):e5.   Published online February 17, 2025
DOI: https://doi.org/10.5395/rde.2025.50.e5
AbstractAbstract PDFPubReaderePub
Objectives
This systematic review aimed to investigate the fracture resistance and mode of failure of endodontically-treated permanent teeth restored with Ribbond posts (Ribbond, Inc.) compared with endodontically-treated permanent teeth restored with other post systems.
Methods
A comprehensive, systematic literature search was carried out using several electronic databases: MEDLINE/PubMed, Google Scholar, and Cochrane Library. Two separate researchers were appointed to identify the studies meeting the eligibility criteria, and to perform the data extraction, risk of bias, and quality assessment.
Results
Twelve studies were included in the quantitative analysis. Meta-analysis was performed with 11 of the 12 included articles. The meta-analysis showed that Ribbond posts have a fracture strength less than prefabricated metal posts, cast metal posts, and prefabricated fiber posts and greater than custom e-glass fiber posts. Mode of failure analysis revealed that Ribbond posts have the most favorable non-catastrophic fractures.
Conclusions
Although Ribbond posts have lower fracture resistance, their favorable mode of failure makes them potentially the most biomimetic post system.
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Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study
Hadeel Hassan Hanafy, Marwa Mahmoud Bedier, Suzan Abdul Wanees Amin
Restor Dent Endod 2024;49(4):e38.   Published online October 11, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e38
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated the effect of ProTaper Next (PTN), ProTaper Universal Retreatment (PTR) and hybrid instrumentation (HI) for canal filling removal on the fracture resistance (FR), mode of failure (MoF), and filling removal time.

Materials and Methods

Ninety-six, mandibular premolars were decoronated and randomly divided into 6 groups (n = 16), as follows: sound (S), untreated canals; prepared teeth (P), canals only prepared to ProTaper Universal finishing instrument (F4); endodontically-treated (ET), prepared and obturated canals using the single-cone technique; and groups PTN, PTR, and HI where filling was removed using PTN, PTR, or HI respectively. FR under vertical loading; MoF and time were assessed. Data were analyzed (Significance level [α] = 0.05).

Results

There was a significant difference in FR among all groups (p < 0.001) (HI < P < PTN < S < ET < PTR). HI showed lower FR than S, ET and PTR, and P showed lower FR than PTR (p < 0.05). For experimental groups, there was a significant difference between every group pair (p < 0.05) No significant difference was found regarding MoF distribution (p > 0.05). HI required the highest filling removal time, while PTR required the least (p < 0.05 between every group pair).

Conclusions

The effect of filling removal on FR may depend on the filling removal technique/system used. PTR could be faster and protect against fracture followed by PTN; HI could adversely affect FR. FR may be associated with filling removal time.

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Predictive factors in the retrieval of endodontic instruments: the relationship between the fragment length and location
Ricardo Portigliatti, Eugenia Pilar Consoli Lizzi, Pablo Alejandro Rodríguez
Restor Dent Endod 2024;49(4):e35.   Published online September 9, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e35
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to relate the file fragment length and location in the root canal to the retrieval chances, the clinical time required and the occurrence of secondary fractures.

Materials and Methods

Sixty clinical cases of fractured instruments were included in this study. They were classified according to the instrument length and the location of the root canal. In each group, the success rate in the instrument retrieval, the clinical time required and the occurrence of secondary fractures were evaluated. The collected data were analyzed using the Kruskal-Wallis test on the basis of a 0.05 significance level.

Results

The fragment length showed no significant influence on the assessed variables (p > 0.05). The root third where the instrument was located resulted in an increased clinical time, with statistically significant differences (p < 0.05). However, the procedure success rate and the occurrence of secondary fractures showed no association with these variables.

Conclusions

In accordance with the findings of this study, the fractured fragment length did not influence any of the variables assessed, but it is suggested to focus on the fragment location inside the root canal to decide the retrieval of a fractured instrument.

Citations

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  • Neodymium-Doped Yttrium Aluminum Perovskite (Nd:YAP) Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 2: Teeth With Significant Root Curvature)
    Amaury Namour, Marwan El Mobadder, Clément Cerfontaine, Patrick Matamba, Lucia Misoaga, Delphine Magnin , Praveen Arany, Samir Nammour
    Cureus.2025;[Epub]     CrossRef
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Investigation of fracture prevalence of instruments used in root canal treatments at a faculty of dentistry: a prospective study
Mehmet Eskibağlar, Merve Yeniçeri Özata, Mevlüt Sinan Ocak, Faruk Öztekin
Restor Dent Endod 2023;48(4):e38.   Published online November 1, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e38
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to examine the use of hand or rotary files by pre-graduation (fourth- and fifth-year) and postgraduate students in endodontic treatments and to determine the incidence of file fracture and the management of cases with broken instruments.

Materials and Methods

A total of 2,168 teeth undergoing primary endodontic treatment were included in this study. It was determined that 79 of these teeth resulted in broken tools. In the case of broken tools, the education level of the treating clinician, the tooth that was being treated, the canal and fracture level, the curvature of the tooth and the management of the broken instrument were recorded. Periapical radiographs of the patients were used to calculate curvature following the Schneider method.

Results

There was no significant difference in the incidence of broken tools according to education level (p > 0.05). The incidence of file fracture in molar teeth (73.4%) was higher than in other teeth (p < 0.05). More files were broken in the mandibular molar MB canal (20.25%) and in the apical third of the canals (72.1%). The risk of instrument fracture was high in teeth with moderate (44.3%) and severe (38%) curvature canals. The management of apically broken (80%) files mostly involved lefting (p < 0.05).

Conclusions

There was no statistically significant difference between fourth-year students, fifth-year students and postgraduate students in terms of instrument fracture.

Citations

Citations to this article as recorded by  
  • Case Study of a Broken Instrument in a Primary Tooth and Literature Review
    Masashi Nakano, Tatsuya Akitomo, Masashi Ogawa, Mariko Kametani, Momoko Usuda, Satoru Kusaka, Chieko Mitsuhata, Ryota Nomura
    Children.2025; 12(2): 149.     CrossRef
  • Neodymium-Doped Yttrium Aluminum Perovskite (Nd:YAP) Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 2: Teeth With Significant Root Curvature)
    Amaury Namour, Marwan El Mobadder, Clément Cerfontaine, Patrick Matamba, Lucia Misoaga, Delphine Magnin , Praveen Arany, Samir Nammour
    Cureus.2025;[Epub]     CrossRef
  • Pattern of endodontic instrument separation and factors affecting its retrieval: a 10-year retrospective observational study in a postgraduate institute
    Velmurugan Natanasabapathy, Aswathi Varghese, Paul Kevin Abishek Karthikeyan, Srinivasan Narasimhan
    Restorative Dentistry & Endodontics.2025; 50(1): e7.     CrossRef
  • Perception of Dental Interns About Intracanal Fracture of Endodontic Instruments in the Central Region of Saudi Arabia: A Cross-Sectional Study
    Abdullah Ahmad A. Aloyouni, Muhammad Atif Saleem Agwan, Saleh Suliman S. Almuzaini, Faris Saleh A. Alqazlan, Abdulaziz Abdulrhman A. Alshumaym, Khalid Abdullah G. Alfuryah
    Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 4): S3890.     CrossRef
  • Predictive factors in the retrieval of endodontic instruments: the relationship between the fragment length and location
    Ricardo Portigliatti, Eugenia Pilar Consoli Lizzi, Pablo Alejandro Rodríguez
    Restorative Dentistry & Endodontics.2024;[Epub]     CrossRef
  • Causes and prevention of endodontic file fractures: a review of the literature
    Erkal Damla, Er Kürşat
    Acta Stomatologica Marisiensis Journal.2024; 7(2): 33.     CrossRef
  • PREVALENCE AND ENDODONTIC MANAGEMENT OF SEPARATED INSTRUMENTS INSIDE THE ROOT CANAL
    Cristina Coralia Nistor, Ana Maria Țâncu , Elena Claudia Coculescu , Albu Cristina Crenguta , Stefan Milicescu , Bogdan Dimitriu
    Romanian Journal of Oral Rehabilitation.2024; 16(1): 96.     CrossRef
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Review Article
Does minimally invasive canal preparation provide higher fracture resistance of endodontically treated teeth? A systematic review of in vitro studies
Sıla Nur Usta, Emmanuel João Nogueira Leal Silva, Seda Falakaloğlu, Mustafa Gündoğar
Restor Dent Endod 2023;48(4):e34.   Published online October 17, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e34
AbstractAbstract PDFPubReaderePub

This systematic review aimed to investigate whether minimally invasive root canal preparation ensures higher fracture resistance compared to conventional root canal preparation in endodontically treated teeth (ETT). A comprehensive search strategy was conducted on the “PubMed, Web of Science, and Scopus” databases, alongside reference and hand searches, with language restrictions applied. Two independent reviews selected pertinent laboratory studies that explored the effect of minimally invasive root canal preparation on fracture resistance, in comparison to larger preparation counterparts. The quality of the studies was assessed, and the risk of bias was categorized as low, moderate, or high. The electronic search yielded a total of 1,767 articles. After applying eligibility criteria, 8 studies were included. Given the low methodological quality of these studies and the large variability of fracture resistance values, the impact of reduced apical size and/or taper on the fracture resistance of the ETT can be considered uncertain. This systematic review could not reveal sufficient evidence regarding the effect of minimally invasive preparation on increasing fracture resistance of ETT, primarily due to the inherent limitations of the studies and the moderate risk of bias.

Citations

Citations to this article as recorded by  
  • Micro‐computed tomography evaluation of minimally invasive root canal preparation in 3D‐printed C‐shaped canal
    Nutcha Supavititpattana, Siriwan Suebnukarn, Panupat Phumpatrakom, Kamon Budsaba
    Australian Endodontic Journal.2024; 50(3): 621.     CrossRef
  • Ex vivo investigation on the effect of minimally invasive endodontic treatment on vertical root fracture resistance and crack formation
    Andreas Rathke, Henry Frehse, Maria Bechtold
    Scientific Reports.2024;[Epub]     CrossRef
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Research Articles
Effects of different calcium-silicate based materials on fracture resistance of immature permanent teeth with replacement root resorption and osteoclastogenesis
Gabriela Leite de Souza, Gabrielle Alves Nunes Freitas, Maria Tereza Hordones Ribeiro, Nelly Xiomara Alvarado Lemus, Carlos José Soares, Camilla Christian Gomes Moura
Restor Dent Endod 2023;48(2):e21.   Published online May 5, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e21
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Objectives

This study evaluated the effects of Biodentine (BD), Bio-C Repair (BCR), and mineral trioxide aggregate (MTA) plug on the fracture resistance of simulated immature teeth with replacement root resorption (RRR) and in vitro-induced osteoclastogenesis.

Materials and Methods

Sixty bovine incisors simulating immature teeth and RRR were divided into 5 groups: BD and BCR groups, with samples completely filled with the respective materials; MTA group, which utilized a 3-mm apical MTA plug; RRR group, which received no root canal filling; and normal periodontal ligament (PL) group, which had no RRR and no root canal filling. All the teeth underwent cycling loading, and compression strength testing was performed using a universal testing machine. RAW 264.7 macrophages were treated with 1:16 extracts of BD, BCR, and MTA containing receptor activator of nuclear factor-kappa B ligand (RANKL) for 5 days. RANKL-induced osteoclast differentiation was assessed by staining with tartrate-resistant acid phosphatase. The fracture load and osteoclast number were analyzed using 1-way ANOVA and Tukey’s test (α = 0.05).

Results

No significant difference in fracture resistance was observed among the groups (p > 0.05). All materials similarly inhibited osteoclastogenesis (p > 0.05), except for BCR, which led to a lower percentage of osteoclasts than did MTA (p < 0.0001).

Conclusions

The treatment options for non-vital immature teeth with RRR did not strengthen the teeth and promoted a similar resistance to fractures in all cases. BD, MTA, and BCR showed inhibitory effects on osteoclast differentiation, with BCR yielding improved results compared to the other materials.

Citations

Citations to this article as recorded by  
  • Evaluation of Different Techniques and Materials for Filling in 3-dimensional Printed Teeth Replicas with Perforating Internal Resorption by Means of Micro–Computed Tomography
    Angelo J.S. Torres-Carrillo, Helena C. Assis, Rodrigo E. Salazar-Gamarra, Leonardo Moreira Teodosio, Alice C. Silva-Sousa, Jardel F. Mazzi-Chaves, Priscila B. Ferreira-Soares, Manoel D. Sousa-Neto, Fabiane C. Lopes-Olhê
    Journal of Endodontics.2024; 50(2): 205.     CrossRef
  • In vitro comparison of fracture strength of maxillary incisors with the simulated external root resorption cavities repaired with BioMTA or Biodentine
    Tufan Ozasir, Birgul Ozasir, Nagihan Aribal, Derin Bugu Yuzer, Baris Kandemir, Kamran Gulsahi
    Journal of Dental Sciences.2024;[Epub]     CrossRef
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Influence of CBCT parameters on image quality and the diagnosis of vertical root fractures in teeth with metallic posts: an ex vivo study
Larissa Pereira Lagos de Melo, Polyane Mazucatto Queiroz, Larissa Moreira-Souza, Mariana Rocha Nadaes, Gustavo Machado Santaella, Matheus Lima Oliveira, Deborah Queiroz Freitas
Restor Dent Endod 2023;48(2):e16.   Published online April 27, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e16
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate the influence of peak kilovoltage (kVp) and a metal artifact reduction (MAR) tool on image quality and the diagnosis of vertical root fracture (VRF) in cone-beam computed tomography (CBCT).

Materials and Methods

Twenty single-rooted human teeth filled with an intracanal metal post were divided into 2 groups: control (n = 10) and VRF (n = 10). Each tooth was placed into the socket of a dry mandible, and CBCT scans were acquired using a Picasso Trio varying the kVp (70, 80, 90, or 99), and the use of MAR (with or without). The examinations were assessed by 5 examiners for the diagnosis of VRF using a 5-point scale. A subjective evaluation of the expression of artifacts was done by comparing random axial images of the studied protocols. The results of the diagnoses were analyzed using 2-way analysis of variance and the Tukey post hoc test, the subjective evaluations were compared using the Friedman test, and intra-examiner reproducibility was evaluated using the weighted kappa test (α = 5%).

Results

The kVp and MAR did not influence the diagnosis of VRF (p > 0.05). According to the subjective classification, the 99 kVp protocol with MAR demonstrated the least expression of artifacts, while the 70 kVp protocol without MAR led to the most artifacts.

Conclusions

Protocols with higher kVp combined with MAR improved the image quality of CBCT examinations. However, those factors did not lead to an improvement in the diagnosis of VRF.

Citations

Citations to this article as recorded by  
  • Vertical root fracture diagnosis in teeth with metallic posts: Impact of metal artifact reduction and sharpening filters
    Débora Costa Ruiz, Lucas P. Lopes Rosado, Rocharles Cavalcante Fontenele, Amanda Farias-Gomes, Deborah Queiroz Freitas
    Imaging Science in Dentistry.2024; 54(2): 139.     CrossRef
  • Comparing standard- and low-dose CBCT in diagnosis and treatment decisions for impacted mandibular third molars: a non-inferiority randomised clinical study
    Kuo Feng Hung, Andy Wai Kan Yeung, May Chun Mei Wong, Michael M. Bornstein, Yiu Yan Leung
    Clinical Oral Investigations.2024;[Epub]     CrossRef
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Fracture incidence of Reciproc instruments during root canal retreatment performed by postgraduate students: a cross-sectional retrospective clinical study
Liliana Machado Ruivo, Marcos de Azevedo Rios, Alexandre Mascarenhas Villela, Alexandre Sigrist de Martin, Augusto Shoji Kato, Rina Andrea Pelegrine, Ana Flávia Almeida Barbosa, Emmanuel João Nogueira Leal Silva, Carlos Eduardo da Silveira Bueno
Restor Dent Endod 2021;46(4):e49.   Published online September 9, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e49
AbstractAbstract PDFPubReaderePub
Objectives

To evaluate the fracture incidence of Reciproc R25 instruments (VDW) used during non-surgical root canal retreatments performed by students in a postgraduate endodontic program.

Materials and Methods

From the analysis of clinical record cards and periapical radiographs of root canal retreatments performed by postgraduate students using the Reciproc R25, a total of 1,016 teeth (2,544 root canals) were selected. The instruments were discarded after a single use. The general incidence of instrument fractures and its frequency was analyzed considering the group of teeth and the root thirds where the fractures occurred. Statistical analysis was performed using the χ2 test (p < 0.01).

Results

Seven instruments were separated during the procedures. The percentage of fracture in relation to the number of instrumented canals was 0.27% and 0.68% in relation to the number of instrumented teeth. Four fractures occurred in maxillary molars, 1 in a mandibular molar, 1 in a mandibular premolar and 1 in a maxillary incisor. A greater number of fractures was observed in molars when compared with the number of fractures observed in the other dental groups (p < 0.01). Considering all of the instrument fractures, 71.43% were located in the apical third and 28.57% in the middle third (p < 0.01). One instrument fragment was removed, one bypassed, while in 5 cases, the instrument fragment remained inside the root canal.

Conclusions

The use of Reciproc R25 instruments in root canal retreatments carried out by postgraduate students was associated with a low incidence of fractures.

Citations

Citations to this article as recorded by  
  • Neodymium-Doped Yttrium Aluminum Perovskite (Nd:YAP) Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 2: Teeth With Significant Root Curvature)
    Amaury Namour, Marwan El Mobadder, Clément Cerfontaine, Patrick Matamba, Lucia Misoaga, Delphine Magnin , Praveen Arany, Samir Nammour
    Cureus.2025;[Epub]     CrossRef
  • Reciprocating Torsional Fatigue and Mechanical Tests of Thermal-Treated Nickel Titanium Instruments
    Victor Talarico Leal Vieira, Alejandro Jaime, Carlos Garcia Puente, Giuliana Soimu, Emmanuel João Nogueira Leal Silva, Carlos Nelson Elias, Gustavo de Deus
    Journal of Endodontics.2024;[Epub]     CrossRef
  • Multimethod analysis of large‐ and low‐tapered single file reciprocating instruments: Design, metallurgy, mechanical performance, and irrigation flow
    Emmanuel João Nogueira Leal Silva, Fernando Peña‐Bengoa, Natasha C. Ajuz, Victor T. L. Vieira, Jorge N. R. Martins, Duarte Marques, Ricardo Pinto, Mario Rito Pereira, Francisco Manuel Braz‐Fernandes, Marco A. Versiani
    International Endodontic Journal.2024; 57(5): 601.     CrossRef
  • Nd: YAP Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 1: Teeth With Minimal Root Curvature)
    Amaury Namour, Marwan El Mobadder, Patrick Matamba, Lucia Misoaga, Delphine Magnin , Praveen Arany, Samir Nammour
    Cureus.2024;[Epub]     CrossRef
  • Cyclic Fatigue of Different Reciprocating Endodontic Instruments Using Matching Artificial Root Canals at Body Temperature In Vitro
    Sebastian Bürklein, Paul Maßmann, Edgar Schäfer, David Donnermeyer
    Materials.2024; 17(4): 827.     CrossRef
  • Endodontic Orthograde Retreatments: Challenges and Solutions
    Alessio Zanza, Rodolfo Reda, Luca Testarelli
    Clinical, Cosmetic and Investigational Dentistry.2023; Volume 15: 245.     CrossRef
  • Design, metallurgy, mechanical properties, and shaping ability of 3 heat-treated reciprocating systems: a multimethod investigation
    Emmanuel J. N. L. Silva, Jorge N. R. Martins, Natasha C. Ajuz, Henrique dos Santos Antunes, Victor Talarico Leal Vieira, Francisco Manuel Braz-Fernandes, Felipe Gonçalves Belladonna, Marco Aurélio Versiani
    Clinical Oral Investigations.2023; 27(5): 2427.     CrossRef
  • Noncontact 3D evaluation of surface topography of reciprocating instruments after retreatment procedures
    Miriam Fatima Zaccaro-Scelza, Renato Lenoir Cardoso Henrique Martinez, Sandro Oliveira Tavares, Fabiano Palmeira Gonçalves, Marcelo Montagnana, Emmanuel João Nogueira Leal da Silva, Pantaleo Scelza
    Brazilian Dental Journal.2022; 33(3): 38.     CrossRef
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Review Article
Traditional and minimally invasive access cavities in endodontics: a literature review
Ioanna Kapetanaki, Fotis Dimopoulos, Christos Gogos
Restor Dent Endod 2021;46(3):e46.   Published online August 13, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e46
AbstractAbstract PDFPubReaderePub

The aim of this review was to evaluate the effects of different access cavity designs on endodontic treatment and tooth prognosis. Two independent reviewers conducted an unrestricted search of the relevant literature contained in the following electronic databases: PubMed, Science Direct, Scopus, Web of Science, and OpenGrey. The electronic search was supplemented by a manual search during the same time period. The reference lists of the articles that advanced to second-round screening were hand-searched to identify additional potential articles. Experts were also contacted in an effort to learn about possible unpublished or ongoing studies. The benefits of minimally invasive access (MIA) cavities are not yet fully supported by research data. There is no evidence that this approach can replace the traditional approach of straight-line access cavities. Guided endodontics is a new method for teeth with pulp canal calcification and apical infection, but there have been no cost-benefit investigations or time studies to verify these personal opinions. Although the purpose of MIA cavities is to reflect clinicians' interest in retaining a greater amount of the dental substance, traditional cavities are the safer method for effective instrument operation and the prevention of iatrogenic complications.

Citations

Citations to this article as recorded by  
  • A Finite Element Method Study of Stress Distribution in Dental Hard Tissues: Impact of Access Cavity Design and Restoration Material
    Mihaela-Roxana Boțilă, Dragos Laurențiu Popa, Răzvan Mercuț, Monica Mihaela Iacov-Crăițoiu, Monica Scrieciu, Sanda Mihaela Popescu, Veronica Mercuț
    Bioengineering.2024; 11(9): 878.     CrossRef
  • Impact of Access Cavity Design on Fracture Resistance of Endodontically Treated Maxillary First Premolar: In Vitro
    Anju Daniel, Abdul Rahman Saleh, Anas Al-Jadaa, Waad Kheder
    Brazilian Dental Journal.2024;[Epub]     CrossRef
  • Management of Traumatized Teeth With Severely Calcified Canals and Minimally Invasive Access Cavity Using the AReneto® System: A Case Report
    Pucha Sai Manaswini, Varun Prabhuji, Champa C, Srirekha A, Veena S Pai
    Cureus.2024;[Epub]     CrossRef
  • Exploring the Impact of Access Cavity Designs on Canal Orifice Localization and Debris Presence: A Scoping Review
    Mario Dioguardi, Davide La Notte, Diego Sovereto, Cristian Quarta, Andrea Ballini, Vito Crincoli, Riccardo Aiuto, Mario Alovisi, Angelo Martella, Lorenzo Lo Muzio
    Clinical and Experimental Dental Research.2024;[Epub]     CrossRef
  • The effect of computer aided navigation techniques on the precision of endodontic access cavities: A systematic review and meta-analysis
    P. R. Kesharani, S. D. Aggarwal, N. K. Patel, J. A. Patel, D. A. Patil, S. H. Modi
    Endodontics Today.2024; 22(3): 244.     CrossRef
  • Minimally Invasive Access Cavity Designs: A Review
    Sushmita Rane, Varsha Pandit, Ashwini Gaikwad, Shivani Chavan, Rajlaxmi Patil, Mrunal Shinde
    Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 3): S1971.     CrossRef
  • Influence of Cavity Designs on Fracture Resistance: Analysis of the Role of Different Access Techniques to the Endodontic Cavity in the Onset of Fractures: Narrative Review
    Mario Dioguardi, Davide La Notte, Diego Sovereto, Cristian Quarta, Angelo Martella, Andrea Ballini, Cornelis H. Pameijer
    The Scientific World Journal.2024;[Epub]     CrossRef
  • Digital precision meets dentin preservation: PriciGuide™ system for guided access opening
    Varun Prabhuji, A. Srirekha, Veena Pai, Archana Srinivasan, S. M. Laxmikanth, Shwetha Shanbhag
    Journal of Conservative Dentistry and Endodontics.2024; 27(8): 884.     CrossRef
  • Minimal Invasive Endodontics: A Comprehensive Narrative Review
    Jaydip Marvaniya, Kishan Agarwal, Dhaval N Mehta, Nirav Parmar, Ritwik Shyamal , Jenee Patel
    Cureus.2022;[Epub]     CrossRef
  • 604 View
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  • 5 Web of Science
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Research Articles
Retrospective study of fracture survival in endodontically treated molars: the effect of single-unit crowns versus direct-resin composite restorations
Kanet Chotvorrarak, Warattama Suksaphar, Danuchit Banomyong
Restor Dent Endod 2021;46(2):e29.   Published online May 6, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e29
AbstractAbstract PDFPubReaderePub
Objectives

This study was conducted to compare the post-fracture survival rate of endodontically treated molar endodontically treated teeth (molar ETT) restored with resin composites or crowns and to identify potential risk factors, using a retrospective cohort design.

Materials and Methods

Dental records of molar ETT with crowns or composite restorations (recall period, 2015–2019) were collected based on inclusion and exclusion criteria. The incidence of unrestorable fractures was identified, and molar ETT were classified according to survival. Information on potential risk factors was collected. Survival rates and potential risk factors were analyzed using the Kaplan-Meier log-rank test and Cox regression model.

Results

The overall survival rate of molar ETT was 87% (mean recall period, 31.73 ± 17.56 months). The survival rates of molar ETT restored with composites and crowns were 81.6% and 92.7%, reflecting a significant difference (p < 0.05). However, ETT restored with composites showed a 100% survival rate if only 1 surface was lost, which was comparable to the survival rate of ETT with crowns. The survival rates of ETT with composites and crowns were significantly different (97.6% vs. 83.7%) in the short-term (12–24 months), but not in the long-term (> 24 months) (87.8% vs. 79.5%).

Conclusions

The survival rate from fracture was higher for molar ETT restored with crowns was higher than for ETT restored with composites, especially in the first 2 years after restoration. Molar ETT with limited tooth structure loss only on the occlusal surface could be successfully restored with composite restorations.

Citations

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  • Risk factors for the appearance of cracks and fractures of teeth according to a survey of dentists
    Emilia A. Olesova, Alexander A. Ilyin, Sergey D. Arutyunov, Elena V. Glazkova, Arsen A. Popov, Svetlana P. Iarilkina
    Russian Journal of Dentistry.2024; 28(6): 562.     CrossRef
  • Performance of Bonded Lithium Disilicate Partial-coverage Crowns in the Restoration of Endodontically Treated Posterior Teeth: An Up to Seven-Year Retrospective Study
    Q Jiang, Z Wang, S Zhang, X Liu, B Fu
    Operative Dentistry.2024; 49(4): 365.     CrossRef
  • In Vitro Bond Strength of Dentin Treated with Sodium Hypochlorite: Effects of Antioxidant Solutions
    Guillermo Grazioli, Elisa de León Cáceres, Romina Tessore, Rafael Lund, Ana Monjarás-Ávila, Monika Lukomska-Szymanska, Louis Hardan, Rim Bourgi, Carlos Cuevas-Suárez
    Antioxidants.2024; 13(9): 1116.     CrossRef
  • Stress Analysis on Mesiolingual Cavity of Endodontically Treated Molar Restored Using Bidirectional Fiber-Reinforced Composite (Wallpapering Technique)
    Harnia Neri, Dudi Aripin, Anna Muryani, Hendra Dharsono, Yolanda Yolanda, Andi Mahyuddin
    Clinical, Cosmetic and Investigational Dentistry.2024; Volume 16: 75.     CrossRef
  • Effect of Luting Cement Film Thickness on the Pull-Out Bond Strength of Endodontic Post Systems
    Khalil Aleisa, Syed Rashid Habib, Abdul Sadekh Ansari, Ragad Altayyar, Shahad Alharbi, Sultan Ali S. Alanazi, Khalid Tawfik Alduaiji
    Polymers.2021; 13(18): 3082.     CrossRef
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Effect of number of uses and sterilization on the instrumented area and resistance of reciprocating instruments
Victor de Ornelas Peraça, Samantha Rodrigues Xavier, Fabio de Almeida Gomes, Luciane Geanini Pena dos Santos, Erick Miranda Souza, Fernanda Geraldo Pappen
Restor Dent Endod 2021;46(2):e28.   Published online April 29, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e28
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated the effect of repeated uses and autoclaving in the instrumented area, fracture resistance, and time of instrumentation of thermally treated nickel-titanium reciprocating systems.

Materials and Methods

Two hundred simulated canals were instrumented using Reciproc Blue and WaveOne Gold. Each file was used up to 10 times or until fracture. The instrumented area was measured in pre- and post-operative images, using ImageJ software. Kaplan-Meier survival analysis evaluated the number of uses of instruments before fracture. Instrumented area and time of instrumentation were analyzed by Mann-Whitney U test and Kruskal-Wallis. Correlations among the number of uses and instrumented area were measured. The level of statistical significance was set at p < 0.05.

Results

Reciproc Blue presented a higher estimated number of uses in comparison with WaveOne Gold (p = 0.026), but autoclaving did not affect the resistance to fracture of instruments (p > 0.05). The instrumented area was different among the evaluated groups (p = 0.039), and the instrumented area along the uses of both tested instruments was reduced. With the time of instrumentation, there was also a significant difference among the evaluated groups; the groups without sterilization cycles were faster, in comparison to those submitted to autoclaving (p = 0.010).

Conclusions

Reciproc Blue was more resistant than WaveOne Gold, suffering later fracture. Additionally, the sterilization cycles did not influence the estimated number of uses of thermally treated reciprocating instruments, but the instrumented area of root canals was reduced along with the repeated uses of both instruments.

Citations

Citations to this article as recorded by  
  • The influence of autoclave sterilization on the cyclic fatigue of M-wire rotary endodontic instruments
    Nenad Stosic, Jelena Popovic, Antonije Stankovic, Aleksandar Mitic, Marija Nikolic, Kosta Todorovic
    Vojnosanitetski pregled.2024; 81(10): 642.     CrossRef
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  • 10 Download
  • 1 Web of Science
  • 1 Crossref
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Effect of post space preparation drills on the incidence of root dentin defects
Thaíse Ayres Bezerra Zuli, Orlando Aguirre Guedes, Gislaine Figueiredo Zarza Arguello Gonçalves, Aurélio Rosa da Silva Júnior, Álvaro Henrique Borges, Andreza Maria Fábio Aranha
Restor Dent Endod 2020;45(4):e53.   Published online October 16, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e53
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the incidence of root dentin defects after the use of different post space preparation (PSP) drills.

Materials and Methods

Seventy-two bovine incisors were selected and obtained 14-mm-long root sections. Twelve roots served as controls with no intervention (G1). The 60 root canals remaining were instrumented using the crown-down technique with the ProTaper Next system and obturated using the lateral condensation technique. Specimens were randomly distributed into 5 groups (n = 12) according to the operative steps performed: G2, root canal instrumentation and filling (I+F); G3, I+F and PSP with Gates-Glidden drills; G4, I+F and PSP with Largo-Peeso reamers; G5, I+F and PSP with Exacto drill; and G6, I+F and PSP with WhitePost drill. Roots were sectioned at 3, 6, 9, and 12 mm from the apex, and digital images were captured. The presence of root dentin defects was recorded. Data were analyzed by the χ2 test, with p < 0.05 considered to indicate statistical significance.

Results

Root dentin defects were observed in 39.6% of the root sections. No defects were observed in G1. G5 had significantly more cracks and craze lines than G1, G2, and G3 (p < 0.05), and more fractures than G1, G2, G3, and G4 (p < 0.05). When all root sections were analyzed together, significantly more defects were observed at the 12-mm level than at the 3-mm level (p < 0.05).

Conclusions

PSP drills caused defects in the root dentin. Gates-Glidden drills caused fewer root defects than Largo-Peeso reamers and Exacto drills.

Citations

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  • Selecting drill size for post space preparation based on final endodontic radiographs: An in vitro study
    Farzaneh Farid, Julfikar Haider, Marjan Sadeghpour Shahab, Nika Rezaeikalantari
    Technology and Health Care.2024; 32(4): 2575.     CrossRef
  • Cone Beam Computed Tomography Analysis of Post Space in Bifurcated Premolars Using ParaPost and Peeso Reamer Drills
    Abdulaziz Saleh Alqahtani, Omar Nasser Almonabhi, Abdulmajeed Moh. Almutairi, Reem R. Alnatsha
    The Open Dentistry Journal.2024;[Epub]     CrossRef
  • A Comparative Evaluation of Real-Time Guided Dynamic Navigation and Conventional Techniques for Post Space Preparation During Post Endodontic Management: An In Vitro Study
    Sherifa Shervani, Sihivahanan Dhanasekaran, Vijay Venkatesh
    Cureus.2024;[Epub]     CrossRef
  • The effect of ultrasonic vibration protocols for cast post removal on the incidence of root dentin defects
    Giulliano C. Serpa, Orlando A. Guedes, Neurinelma S. S. Freitas, Julio A. Silva, Carlos Estrela, Daniel A. Decurcio
    Journal of Oral Science.2023; 65(3): 190.     CrossRef
  • 191 View
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Case Report
Fiber-reinforced composite resin bridges: an alternative method to treat root-fractured teeth
Gun Heo, Eun-Hye Lee, Jin-Woo Kim, Kyung-Mo Cho, Se-Hee Park
Restor Dent Endod 2020;45(1):e8.   Published online December 27, 2019
DOI: https://doi.org/10.5395/rde.2020.45.e8
AbstractAbstract PDFPubReaderePub

The replacement of missing teeth, especially in the anterior region, is an essential part of dental practice. Fiber-reinforced composite resin bridges are a conservative alternative to conventional fixed dental prostheses or implants. It is a minimally invasive, reversible technique that can be completed in a single visit. The two cases presented herein exemplify the treatment of root-fractured anterior teeth with a natural pontic immediately after extraction.

Citations

Citations to this article as recorded by  
  • Current Evidence on the Fiber-reinforced Composite Bridges
    Ramesh Chowdhary, Sunil Kumar Mishra
    International Journal of Prosthodontics and Restorative Dentistry.2023; 12(4): 159.     CrossRef
  • Bridging the Gap: A Case Report of Tooth Replacement using Resin-Bonded Fiber- Reinforced Composite Resin
    Vineet Sharma, Sumit Bhansali, Sonal Priya Bhansali
    Journal of Pierre Fauchard Academy (India Section).2023; : 66.     CrossRef
  • Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge
    Maryam S. Tavangar, Fatemeh Aghaei, Massoumeh Nowrouzi, Andrea Scribante
    Case Reports in Dentistry.2022; 2022: 1.     CrossRef
  • 124 View
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Research Article
Cyclic fatigue resistance of M-Pro and RaCe Ni-Ti rotary endodontic instruments in artificial curved canals: a comparative in vitro study
Hadeer Mostafa El Feky, Khalid Mohammed Ezzat, Marwa Mahmoud Ali Bedier
Restor Dent Endod 2019;44(4):e44.   Published online November 7, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e44
AbstractAbstract PDFPubReaderePub
Objectives

To compare the flexural cyclic fatigue resistance and the length of the fractured segments (FLs) of recently introduced M-Pro rotary files with that of RaCe rotary files in curved canals and to evaluate the fracture surface by scanning electron microscopy (SEM).

Materials and Methods

Thirty-six endodontic files with the same tip size and taper (size 25, 0.06 taper) were used. The samples were classified into 2 groups (n = 18): the M-Pro group (M-Pro IMD) and the RaCe group (FKG). A custom-made simulated canal model was fabricated to evaluate the total number of cycles to failure and the FL. SEM was used to examine the fracture surfaces of the fragmented segments. The data were statistically analyzed and comparisons between the 2 groups for normally distributed numerical variables were carried out using the independent Student's t-test. A p value less than 0.05 was considered to indicate statistical significance.

Results

The M-Pro group showed significantly higher resistance to flexural cyclic fatigue than the RaCe group (p < 0.05), but there was no significant difference in the FLs between the 2 groups (p ≥ 0.05).

Conclusions

Thermal treatment of nickel-titanium instruments can improve the flexural cyclic fatigue resistance of rotary endodontic files, and the M-Pro rotary system seems to be a promising rotary endodontic file.

Citations

Citations to this article as recorded by  
  • Evaluatation of two nickle-titanium systems’ (Neolix and X Pro Gold) resistance to fracture after immersion in sodium hypochlorite.
    Solmaz Araghi, Abbas Delvarani, Faeze dehghan, Parisa Kaghazloo
    journal of research in dental sciences.2024; 21(1): 17.     CrossRef
  • Endodontic Ni–Ti Rotary Instruments for Glide-path, Are They Still Necessary and How to Think about the Ideal Instrument?
    Shilpa Bhandi, Rodolfo Reda, Luca Testarelli, Elisa Maccari
    The Journal of Contemporary Dental Practice.2024; 25(6): 505.     CrossRef
  • Comparative evaluation of cyclic fatigue resistance of thermomechanically treated NiTi rotary instruments in simulated curved canals with two different radii of curvature: An in vitro Study
    Tahira Hamid, Azhar Malik, Ajay Kumar, Shamim Anjum
    Journal of Conservative Dentistry and Endodontics.2024; 27(4): 393.     CrossRef
  • The Effect of Canal Curvature and Different Manufacturing Processes of Five Different NiTi Rotary Files on Cyclic Fatigue Resistance
    Panupat Phumpatrakom, Awiruth Klaisiri, Sukitti Techapatiphandee, Thippawan Saekow, Panuroot Aguilar
    European Journal of General Dentistry.2024;[Epub]     CrossRef
  • New heat-treated vs electropolished nickel-titanium instruments used in root canal treatment: Influence of autoclave sterilization on surface roughness
    Rahaf A. Almohareb, Reem Barakat, Fatimah Albohairy, Hannes C. Schniepp
    PLOS ONE.2022; 17(3): e0265226.     CrossRef
  • The Effect of Taper and Apical Diameter on the Cyclic Fatigue Resistance of Rotary Endodontic Files Using an Experimental Electronic Device
    Vicente Faus-Llácer, Nirmine Hamoud Kharrat, Celia Ruiz-Sánchez, Ignacio Faus-Matoses, Álvaro Zubizarreta-Macho, Vicente Faus-Matoses
    Applied Sciences.2021; 11(2): 863.     CrossRef
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Case Report
Pulp revascularization with and without platelet-rich plasma in two anterior teeth with horizontal radicular fractures: a case report
Edison Arango-Gómez, Javier Laureano Nino-Barrera, Gustavo Nino, Freddy Jordan, Henry Sossa-Rojas
Restor Dent Endod 2019;44(4):e35.   Published online August 20, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e35
AbstractAbstract PDFPubReaderePub

Pulp revascularization is an alternative treatment in immature traumatized teeth with necrotic pulp. However, this procedure has not been reported in horizontal root fractures. This is a case report of a 9-year-old patient with multiple horizontal root fractures in 2 upper central incisors that were successfully treated with pulp revascularization. The patient presented for treatment 2 years after the initial trauma, and revascularization was attempted after the initial treatment with calcium hydroxide had failed. Prior to pulp revascularization, cone-beam computed tomography and autoradiograms demonstrated multiple horizontal fractures in the middle and apical thirds of the roots of the 2 affected teeth. Revascularization was performed in both teeth; platelet-rich plasma (PRP) was used in one tooth (#11) and the conventional method (blood clot) was used in the other tooth (#21). Clinical and radiographic follow-up over 4 years demonstrated pulp calcification in the PRP-treated tooth. Neither of the 2 teeth were lost, and the root canal calcification of tooth #11 was greater than that of tooth #21. This case suggests that PRP-based pulp revascularization may be an alternative for horizontal root fractures.

Citations

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  • Dental pulp mesenchymal stem cells-response to fibrin hydrogel reveals ITGA2 and MMPs expression
    David Tong, Stéphanie Gobert, Alicia Reuzeau, Jean-Christophe Farges, Marianne Leveque, Marie Bolon, Arthur Costantini, Marielle Pasdeloup, Jérôme Lafont, Maxime Ducret, Mourad Bekhouche
    Heliyon.2024; 10(13): e32891.     CrossRef
  • Pulp regeneration treatment using different bioactive materials in permanent teeth of pediatric subjects
    Dina Abdellatif, Alfredo Iandolo, Giuseppina De Benedetto, Francesco Giordano, Davide Mancino, Edouard Euvrard, Massimo Pisano
    Journal of Conservative Dentistry and Endodontics.2024; 27(5): 458.     CrossRef
  • Retreatment of a Failed Regenerative Endodontic Treatment in an Immature Tooth with a Horizontal Root Fracture: A Case Report
    Zaher Marjy, Iris Slutzky-Goldberg
    International Journal of Clinical Pediatric Dentistry.2024; 17(10): 1168.     CrossRef
  • The Impact of the Preferred Reporting Items for Case Reports in Endodontics (PRICE) 2020 Guidelines on the Reporting of Endodontic Case Reports
    Sofian Youssef, Phillip Tomson, Amir Reza Akbari, Natalie Archer, Fayjel Shah, Jasmeet Heran, Sunmeet Kandhari, Sandeep Pai, Shivakar Mehrotra, Joanna M Batt
    Cureus.2023;[Epub]     CrossRef
  • Evaluation of postoperative pain and healing following regenerative endodontics using platelet‐rich plasma versus conventional endodontic treatment in necrotic mature mandibular molars with chronic periapical periodontitis. A randomized clinical trial
    Yassmin Elsayed Ahmed, Geraldine Mohamed Ahmed, Angie Galal Ghoneim
    International Endodontic Journal.2023; 56(4): 404.     CrossRef
  • Regenerative endodontic procedures for two traumatized mature anterior teeth with transverse root fractures
    Jing Lu, Bill Kahler
    BMC Oral Health.2022;[Epub]     CrossRef
  • Are platelet concentrate scaffolds superior to traditional blood clot scaffolds in regeneration therapy of necrotic immature permanent teeth? A systematic review and meta-analysis
    Qianwei Tang, Hua Jin, Song Lin, Long Ma, Tingyu Tian, Xiurong Qin
    BMC Oral Health.2022;[Epub]     CrossRef
  • Platelet-Rich Fibrin Used as a Scaffold in Pulp Regeneration: Case Series
    Ceren ÇİMEN, Selin ŞEN, Elif ŞENAY, Tuğba BEZGİN
    Cumhuriyet Dental Journal.2021; 24(1): 113.     CrossRef
  • Plasma rico en plaquetas en Odontología: Revisión de la literatura
    Hugo Anthony Rosas Rozas, Hugo Leoncio Rosas Cisneros
    Yachay - Revista Científico Cultural.2021; 10(1): 536.     CrossRef
  • 214 View
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  • 9 Crossref
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Research Articles
Effect of glide path preparation with PathFile and ProGlider on the cyclic fatigue resistance of WaveOne nickel-titanium files
Gülşah Uslu, Uğur İnan
Restor Dent Endod 2019;44(2):e22.   Published online May 9, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e22
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to investigate the effect of glide path preparation with PathFile and ProGlider nickel-titanium (NiTi) files on the cyclic fatigue resistance of WaveOne NiTi files.

Materials and Methods

Forty-four WaveOne Primary files were used and divided into four groups (n = 11). In the first group (0 WaveOne), the WaveOne Primary files served as a control group and were not used on acrylic blocks. In the 1 WaveOne Group, acrylic blocks were prepared using only WaveOne Primary files, and in the PF+WaveOne group and PG+WaveOne groups, acrylic blocks were first prepared with PathFile or ProGlider NiTi files, respectively, followed by the use of WaveOne Primary files. All the WaveOne Primary files were then subjected to cyclic fatigue testing. The number of cycles to failure was calculated and the data were statistically analyzed using one-way analysis of variance (ANOVA) and the Tukey honest significant difference multiple-comparison test at a 5% significance level.

Results

The highest number of cycles to failure was found in the control group, and the lowest numbers were found in the 1 WaveOne group and the PF+WaveOne group. Significant differences were found among the 1 WaveOne, PF+WaveOne, and control groups (p < 0.05). No statistically significant differences were found between the PG+WaveOne group and the other three groups (p > 0.05).

Conclusion

Glide path preparation with NiTi rotary files did not affect the cyclic fatigue resistance of WaveOne Primary files used on acrylic blocks.

Citations

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  • Screw-in force, torque generation, and performance of glide-path files with three rotation kinetics
    Jee-Yeon Woo, Ji-Hyun Jang, Seok Woo Chang, Soram Oh
    Odontology.2024; 112(3): 761.     CrossRef
  • Glide Path in Endodontics: A Literature Review of Current Knowledge
    Vlad Mircea Lup, Giulia Malvicini, Carlo Gaeta, Simone Grandini, Gabriela Ciavoi
    Dentistry Journal.2024; 12(8): 257.     CrossRef
  • Comparative Evaluation of the Cyclic Fatigue Resistance of WaveOne Gold in Reciprocation, ProGlider in Rotary Motion, and Manual Files in a Reciprocating Handpiece Within Simulated Curved Canals: An In Vitro Study
    Shivangi M Pujara, Hardik B Shah, Leena H Jobanputra
    Cureus.2024;[Epub]     CrossRef
  • Effect of glide path instruments in cyclic fatigue resistance of reciprocating instruments after three uses
    André Schroder Scherer, Carlos Alexandre Souza Bier, José Roberto Vanni
    Brazilian Dental Journal.2023; 34(2): 27.     CrossRef
  • An Investigation of the Accuracy and Reproducibility of 3D Printed Transparent Endodontic Blocks
    Martin Smutný, Martin Kopeček, Aleš Bezrouk
    Acta Medica (Hradec Kralove, Czech Republic).2022; 65(2): 59.     CrossRef
  • Evaluation of Cyclic Fatigue of Hyflex EDM, Twisted Files, and ProTaper Gold Manufactured with Different Processes: An In Vitro Study
    Pooja D. Khandagale, Prashant P. Shetty, Saleem D. Makandar, Pradeep A. Bapna, Mohmed Isaqali Karobari, Anand Marya, Pietro Messina, Giuseppe Alessandro Scardina, Antonino Lo Giudice
    International Journal of Dentistry.2021; 2021: 1.     CrossRef
  • 138 View
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  • 6 Crossref
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Critical evaluation of fracture strength testing for endodontically treated teeth: a finite element analysis study
Emel Uzunoglu-Özyürek, Selen Küçükkaya Eren, Oğuz Eraslan, Sema Belli
Restor Dent Endod 2019;44(2):e15.   Published online April 18, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e15
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to investigate whether the diameter and direction of the plunger and simulation of the periodontal ligament (PDL) affected the stress distribution in endodontically treated premolars.

Methods

A fracture strength test was simulated via finite element analysis. A base model was set up, and the following parameters were modified: plunger diameter (3 mm vs. 6 mm), plunger direction (vertical vs. 135° angular to the central fossa), and PDL simulation. The analysis was conducted using the CosmosWorks structural analysis program, and the results are presented in terms of von Mises stresses.

Results

The smaller plunger increased the stresses at the contact area of the crown, but the plunger diameter had no effect on the stress distribution within the root. An angular plunger direction increased stresses within the root, as well as at the buccal cusp of the crown, compared with the vertical direction. Simulation of the PDL caused higher stress accumulation, especially in the cervical region of the root.

Conclusions

The plunger diameter had no effect on the stress distribution in the roots, whereas the plunger direction and PDL simulation did affect the stress distribution. More stringent standards can be established by taking such parameters into account when performing fracture testing in future studies.

Citations

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  • Assessment of Stress Distribution with 3 Taper Design Preparation of Root Canal Using Finite Element Analysis
    Tejasree Rathod, G. Durgabhavani, Pudu Tirupathi, Nusrath Parveen, Yelloji Paramesh, Prabhakar Dharavattu
    Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 1): S112.     CrossRef
  • The impact of the filling technique with two sealers in bulk or associated with gutta-percha on the fatigue behavior and failure patterns of endodontically treated teeth
    Isabella Marian Lena, Luiza Colpo Chiaratti, Rafaela Oliveira Pilecco, Renan Vaz Machry, João Paulo Mendes Tribst, Cornelis Johannes Kleverlaan, Gabriel Kalil Rocha Pereira, Renata Dornelles Morgental
    PeerJ.2024; 12: e18221.     CrossRef
  • Stronger than Ever: Multifilament Fiberglass Posts Boost Maxillary Premolar Fracture Resistance
    Naji Kharouf, Eugenio Pedullà, Gianluca Plotino, Hamdi Jmal, Mohammed-El-Habib Alloui, Philippine Simonis, Patrice Laquerriere, Valentina Macaluso, Dina Abdellatif, Raphaël Richert, Youssef Haikel, Davide Mancino
    Journal of Clinical Medicine.2023; 12(8): 2975.     CrossRef
  • Neural network approach to evaluate the physical properties of dentin
    Mohammad Ali Saghiri, Ali Mohammad Saghiri, Elham Samadi, Devyani Nath, Julia Vakhnovetsky, Steven M. Morgano
    Odontology.2023; 111(1): 68.     CrossRef
  • Modelling and evaluating periodontal ligament mechanical behaviour and properties: A scoping review of current approaches and limitations
    Enaiyat Ghani Ovy, Dan L. Romanyk, Carlos Flores Mir, Lindsey Westover
    Orthodontics & Craniofacial Research.2022; 25(2): 199.     CrossRef
  • FEAr no more! Finite element analysis in orthodontics
    Shilpa Chawla, Shailesh Deshmukh
    Journal of the International Clinical Dental Research Organization.2022; 14(1): 6.     CrossRef
  • Influence of Methodological Variables on Fracture Strength Tests Results of Premolars with Different Number of Residual Walls. A Systematic Review with Meta-Analysis
    Carlo Gaeta, Crystal Marruganti, Emanuele Mignosa, Giovanni Franciosi, Edoardo Ferrari, Simone Grandini
    Dentistry Journal.2021; 9(12): 146.     CrossRef
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The top 10 most-cited articles on the management of fractured instruments: a bibliometric analysis
Lora Mishra, Hyeon-Cheol Kim, Naomi Ranjan Singh, Priti Pragati Rath
Restor Dent Endod 2019;44(1):e2.   Published online December 26, 2018
DOI: https://doi.org/10.5395/rde.2019.44.e2
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this research was to identify the top 10 most-cited articles on the management of fractured or broken instruments and to perform a bibliometric analysis thereof.

Materials and Methods

Published articles related to fractured instruments were screened from online databases, such as Web of Science, Scopus, PubMed, and ScienceDirect, and highly cited papers, with at least 50 citations since publication, were identified. The most-cited articles were selected and analysed with regard to publication title, authorship, the journal of publication, year, institution, country of origin, article type, and number of citations.

Results

The top 10 most-cited articles were from various journals. Most were published in the Journal of Endodontics, followed by the International Endodontic Journal, and Dental Traumatology. The leading countries were Australia, Israel, Switzerland, the USA, and Germany, and the leading institution was the University of Melbourne. The majority of articles among the top 10 articles were clinical research studies (n = 8), followed by a basic research article and a non-systematic review article.

Conclusions

This bibliometric analysis revealed interesting information about scientific progress in endodontics regarding fractured instruments. Overall, clinical research studies and basic research articles published in high-impact endodontic journals had the highest citation rates.

Citations

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  • A Bibliometric Analysis of the 100 Top-Cited Articles on Vertical Root Fractures
    Pillai Arun Gopinathan , Ikram UI Haq, Nawaf Alfahad, Saleh Alwatban, Abdullah Alghamdi, Amal Alamri, Kiran Iyer
    Cureus.2024;[Epub]     CrossRef
  • Predictive factors in the retrieval of endodontic instruments: the relationship between the fragment length and location
    Ricardo Portigliatti, Eugenia Pilar Consoli Lizzi, Pablo Alejandro Rodríguez
    Restorative Dentistry & Endodontics.2024;[Epub]     CrossRef
  • A bibliometric analysis of the top 100 most‐cited case reports and case series in Endodontic journals
    Venkateshbabu Nagendrababu, Jelena Jacimovic, Aleksandar Jakovljevic, Giampiero Rossi‐Fedele, Paul M. H. Dummer
    International Endodontic Journal.2022; 55(3): 185.     CrossRef
  • The Most Highly Cited Publications on Basketball Originate From English-Speaking Countries, Are Published After 2000, Are Focused on Medicine-Related Topics, and Are Level III Evidence
    Zachary D. Griffin, Jordan R. Pollock, M. Lane Moore, Kade S. McQuivey, Jaymeson R. Arthur, Anikar Chhabra
    Arthroscopy, Sports Medicine, and Rehabilitation.2022; 4(3): e891.     CrossRef
  • Ten years of minimally invasive access cavities in Endodontics: a bibliometric analysis of the 25 most-cited studies
    Emmanuel João Nogueira Leal Silva, Karem Paula Pinto, Natasha C. Ajuz, Luciana Moura Sassone
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
  • Publication trends in micro‐CT endodontic research: a bibliometric analysis over a 25‐year period
    U. Aksoy, M. Küçük, M. A. Versiani, K. Orhan
    International Endodontic Journal.2021; 54(3): 343.     CrossRef
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Review Article
Survival rates against fracture of endodontically treated posterior teeth restored with full-coverage crowns or resin composite restorations: a systematic review
Warattama Suksaphar, Danuchit Banomyong, Titalee Jirathanyanatt, Yaowaluk Ngoenwiwatkul
Restor Dent Endod 2017;42(3):157-167.   Published online July 31, 2017
DOI: https://doi.org/10.5395/rde.2017.42.3.157
AbstractAbstract PDFPubReaderePub

This systematic review aims to summarize the current clinical studies that investigated survival rates against fracture of endodontically treated posterior teeth restored with crowns or resin composite restorations. Literature search were performed using keywords. Publications from 1980 to 2016 were searched in PubMed, ScienceDirect, Web of Science, MEDLINE, and SCOPUS. Included studies were selected based on inclusion and exclusion criteria. Three clinical studies were included: 1 randomized controlled trial and 1 prospective and 1 retrospective cohort studies. Pooled survival rates ranged from 94%–100% and 91.9%–100% for crowns and resin composite, respectively. The majority of teeth had no more than 3 surface loss of tooth structure. The studies included were heterogeneous, and were not appropriate for further meta-analysis. Current evidence suggested that the survival rates against the fracture of endodontically treated posterior teeth restored with crowns or resin composites were not significantly different in the teeth with minimum to moderate loss of tooth structure.

Citations

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  • One-piece endodontic crown fixed partial denture: Is it possible?
    João Paulo M. Tribst, Amanda Maria de O. Dal Piva, Joris Muris, Cornelis J. Kleverlaan, Albert J. Feilzer
    The Journal of Prosthetic Dentistry.2024; 131(6): 1118.     CrossRef
  • Survival Rate Against Fracture of Endodontically Treated Premolars Restored with Crowns and Resin Composites: A Retrospective Study
    Enas Khamakhim, Farida Alsayeh
    AlQalam Journal of Medical and Applied Sciences.2024; : 398.     CrossRef
  • Knowledge and Awareness of Root Canal Treatment among Patients in Tripoli: A Survey-Based Study
    Sumaya Aghila
    AlQalam Journal of Medical and Applied Sciences.2024; : 532.     CrossRef
  • Clinical performance of polyethylenefiber reinforced resin composite restorations in endodontically treated teeth: (a randomized controlled clinical trial)
    Ahmed Abdelsattar Metwaly, Amira Farid Elzoghby, Rawda Hesham Abd ElAziz
    BMC Oral Health.2024;[Epub]     CrossRef
  • Direct Versus Indirect Treatment Options of Endodontically Treated Posterior Teeth: A Narrative Review
    Mai M Alhamdan, Rodina F Aljamaan, Munira M Abuthnain, Shahd A Alsumikhi, Ghada S Alqahtani, Reem A Alkharaiyef
    Cureus.2024;[Epub]     CrossRef
  • Single crown vs. composite for glass fiber post-retained restorations: An 8-year randomized clinical trial
    Victório Poletto-Neto, Luiz Alexandre Chisini, Wietske Fokkinga, Cees Kreulen, Bas Loomans, Maximiliano Sérgio Cenci, Tatiana Pereira-Cenci
    Journal of Dentistry.2024; 142: 104837.     CrossRef
  • Factors influencing the clinical performance of the restoration of endodontically treated teeth: An assessment of systematic reviews of clinical studies
    Lara Dotto, Luiza Paloma S. Girotto, Yara Teresinha Correa Silva Sousa, Gabriel Kalil Rocha Pereira, Ataís Bacchi, Rafael Sarkis-Onofre
    The Journal of Prosthetic Dentistry.2024; 131(6): 1043.     CrossRef
  • Influence of technical quality and coronal restoration on periapical health of root canal treatment performed by Malaysian undergraduate students
    Norazlina Mohammad, Faizah Abdul Fatah, Azlan Jaafar, Siti Hajar Omar, Aimi Amalina Ahmad, Abdul Azim Asy Abdul Aziz, Aws Hashim Ali Al-Kadhim
    Saudi Endodontic Journal.2023; 13(1): 63.     CrossRef
  • The success rate of indirect adhesive restorations in the distal dentition fabricated with chairside CAD/CAM system
    Marek Šupler, Andrej Jenča, Michal Straka, Juraj Deglovič, Janka Jenčová
    Stomatológ.2023; 33(2): 10.     CrossRef
  • A Comparative Study of the Marginal Fit of Endocrowns Fabricated From Three Different Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) Ceramic Materials: An In Vitro Study
    Esraa Attar, Shatha Alshali, Tariq Abuhaimed
    Cureus.2023;[Epub]     CrossRef
  • Evaluation of titanium mesh and fibers in reinforcing endodontically treated molars: An in vitro study
    Hemalatha Hiremath, Devansh Verma, Sheetal Khandelwal, AishwaryaSingh Solanki, Sonam Patidar
    Journal of Conservative Dentistry.2022; 25(2): 189.     CrossRef
  • Effect of surface treatment, ferrule height, and luting agent type on pull-out bond strength of monolithic zirconia endocrowns
    Emine B. Buyukerkmen, Durmuş A. Bozkurt, Arslan Terlemez
    Journal of Oral Science.2022; 64(4): 279.     CrossRef
  • An Umbrella Review of Systematic Reviews and Meta-Analyses Evaluating the Success Rate of Prosthetic Restorations on Endodontically Treated Teeth
    Amirhossein Fathi, Behnaz Ebadian, Sara Nasrollahi Dezaki, Nahal Mardasi, Ramin Mosharraf, Sabire Isler, Shiva Sadat Tabatabaei, Stefano Pagano
    International Journal of Dentistry.2022; 2022: 1.     CrossRef
  • Survival and success of endocrowns: A systematic review and meta-analysis
    Raghad A. Al-Dabbagh
    The Journal of Prosthetic Dentistry.2021; 125(3): 415.e1.     CrossRef
  • Fracture strength of non-invasively reinforced MOD cavities on endodontically treated teeth
    René Daher, Stefano Ardu, Enrico Di Bella, Giovanni T. Rocca, Albert J. Feilzer, Ivo Krejci
    Odontology.2021; 109(2): 368.     CrossRef
  • Retrospective study of fracture survival in endodontically treated molars: the effect of single-unit crowns versus direct-resin composite restorations
    Kanet Chotvorrarak, Warattama Suksaphar, Danuchit Banomyong
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
  • An insight into patient's perceptions regarding root canal treatment: A questionnaire-based survey
    Ramta Bansal, Aditya Jain
    Journal of Family Medicine and Primary Care.2020; 9(2): 1020.     CrossRef
  • Endodontically treated posterior teeth restored with or without crown restorations: A 5‐year retrospective study of survival rates from fracture
    Titalee Jirathanyanatt, Warattama Suksaphar, Danuchit Banomyong, Yaowaluk Ngoenwiwatkul
    Journal of Investigative and Clinical Dentistry.2019;[Epub]     CrossRef
  • Fracture resistance, gap and void formation in root‐filled mandibular molars restored with bulk‐fill resin composites and glass‐ionomer cement base
    Nathamon Thongbai‐on, Kanet Chotvorrarak, Danuchit Banomyong, Michael F. Burrow, Sittichoke Osiri, Nattha Pattaravisitsate
    Journal of Investigative and Clinical Dentistry.2019;[Epub]     CrossRef
  • Current options concerning the endodontically-treated teeth restoration with the adhesive approach
    Marco Aurélio de Carvalho, Priscilla Cardoso Lazari, Marco Gresnigt, Altair Antoninha Del Bel Cury, Pascal Magne
    Brazilian Oral Research.2018;[Epub]     CrossRef
  • 229 View
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Research Article
Effect of adhesive luting on the fracture resistance of zirconia compared to that of composite resin and lithium disilicate glass ceramic
Myung-Jin Lim, Kwang-Won Lee
Restor Dent Endod 2017;42(1):1-8.   Published online October 14, 2016
DOI: https://doi.org/10.5395/rde.2017.42.1.1
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the effect of adhesive luting on the fracture resistance of zirconia compared to that of a composite resin and a lithium disilicate glass ceramic.

Materials and Methods

The specimens (dimension: 2 mm × 2 mm × 25 mm) of the composite resin, lithium disilicate glass ceramic, and yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) were prepared. These were then divided into nine groups: three non-luting groups, three non-adhesive luting groups, and three adhesive luting groups, for each restorative material. In the non-luting groups, specimens were placed on the bovine tooth without any luting agents. In the non-adhesive luting groups, only zinc phosphate cement was used for luting the specimen to the bovine tooth. In the adhesive luting groups, specimens were pretreated, and the adhesive luting procedure was performed using a self-adhesive resin cement. For all the groups, a flexural test was performed using universal testing machine, in which the fracture resistance was measured by recording the force at which the specimen was fractured.

Results

The fracture resistance after adhesive luting increased by approximately 29% in the case of the composite resin, 26% in the case of the lithium disilicate glass ceramic, and only 2% in the case of Y-TZP as compared to non-adhesive luting.

Conclusions

The fracture resistance of Y-TZP did not increased significantly after adhesive luting as compared to that of the composite resin and the lithium disilicate glass ceramic.

Citations

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  • Cyclic fatigue of a repaired 4 YSZ ceramic: Effect of the repair protocol on the adhesive and mechanical behavior
    Pablo Machado Soares, Lucas Saldanha da Rosa, Rafaela Oliveira Pilecco, Gabriel Kalil Rocha Pereira, Amanda Maria de Oliveira Dal Piva, João Paulo Mendes Tribst, Luiz Felipe Valandro, Cornelis Johannes Kleverlaan, Marilia Pivetta Rippe
    Heliyon.2024; 10(1): e23709.     CrossRef
  • Effect of wall thickness on shape accuracy of hollow zirconia artificial teeth fabricated by a 3D printer
    Hiro Kobayashi, Franz Sebastian Schwindling, Akinori Tasaka, Peter Rammelsberg, Shuichiro Yamashita, Stefan Rues
    Journal of Prosthodontic Research.2024;[Epub]     CrossRef
  • Effect of powder air polishing and ultrasonic scaling on the marginal and internal interface (tooth-veneer) of ceramic veneers: an in vitro study
    Florian Fuchs, Laura Antonia Mayer, Lena Unterschütz, Dirk Ziebolz, Nadia Oberueck, Ellen Schulz‑Kornas, Sebastian Hahnel, Andreas Koenig
    Clinical Oral Investigations.2024;[Epub]     CrossRef
  • Clinical performance of two onlay designs for molars after root canal treatment
    Shujiang Chen, Meng Lu, Zhimin Zhu, Wenchuan Chen
    Journal of Oral Science.2023; 65(3): 171.     CrossRef
  • Tooth‐cusp preservation with lithium disilicate onlay restorations: A fatigue resistance study
    Elizabeth Griffis, Islam Abd Alraheam, Lee Boushell, Terrence Donovan, Dennis Fasbinder, Taiseer A. Sulaiman
    Journal of Esthetic and Restorative Dentistry.2022; 34(3): 512.     CrossRef
  • Cyclic fatigue vs static loading for shear bond strength test of lithium disilicate and dentin substrates: A comparison of resin cement viscosities
    Kiara Serafini Dapieve, Renan Vaz Machry, Ana Carolina Cadore-Rodrigues, Jessica Klöckner Knorst, Gabriel Kalil Rocha Pereira, Niek De Jager, Luiz Felipe Valandro, Cornelis Johannes Kleverlaan
    Dental Materials.2022; 38(12): 1910.     CrossRef
  • Fracture resistance and 3D finite element analysis of machined ceramic crowns bonded to endodontically treated molars with two planes versus flat occlusal preparation designs: an in vitro study
    Omnia Nabil, Carl Hany Halim, Ashraf Hassan Mokhtar
    F1000Research.2021; 8: 1020.     CrossRef
  • Establishment of optimal variable elastic modulus distribution in the design of full-crown restorations by finite element analysis
    Jianghai CHEN, Yutao JIAN, Shumin CHEN, Xiaodong WANG, Li DAO, Ke ZHAO
    Dental Materials Journal.2021; 40(6): 1403.     CrossRef
  • Load-bearing capacity of CAD/CAM 3D-printed zirconia, CAD/CAM milled zirconia, and heat-pressed lithium disilicate ultra-thin occlusal veneers on molars
    A. Ioannidis, D. Bomze, C.H.F. Hämmerle, J. Hüsler, O. Birrer, S. Mühlemann
    Dental Materials.2020; 36(4): e109.     CrossRef
  • Fracture resistance and 3D finite element analysis of machined ceramic crowns bonded to endodontically treated molars with two planes versus flat occlusal preparation designs: an in vitro study
    Omnia Nabil, Carl Hany Halim, Ashraf Hassan Mokhtar
    F1000Research.2019; 8: 1020.     CrossRef
  • The effect of adhesive failure and defects on the stress distribution in all-ceramic crowns
    Yonggang Liu, Yuanzhi Xu, Bo Su, Dwayne Arola, Dongsheng Zhang
    Journal of Dentistry.2018; 75: 74.     CrossRef
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Case Reports
Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report
Silvio Taschieri, Massimo Del Fabbro, Ahmed El Kabbaney, Igor Tsesis, Eyal Rosen, Stefano Corbella
Restor Dent Endod 2016;41(4):316-321.   Published online June 21, 2016
DOI: https://doi.org/10.5395/rde.2016.41.4.316
AbstractAbstract PDFPubReaderePub

Although it is challenging, the early diagnosis of a vertical root fracture (VRF) is crucial in order to ensure tooth preservation. The purpose of this clinical case report was to describe reparative surgery performed to treat a tooth affected by an incomplete VRF. A 26 year old male patient was suspected to have a VRF in a maxillary left central incisor, and an exploratory flap was performed in order to confirm the diagnosis. After detecting the fracture, the lesion was surgically treated, the fracture and the infected root-end were removed, and a platelet-rich plasma membrane was used to cover the defect in order to prevent bacterial migration. A 24 month clinical and radiological follow-up examination showed that the tooth was asymptomatic and that the healing process was in progress. The surgical approach described here may be considered an effective treatment for a combined endodontic-periodontal lesion originating from an incomplete VRF and a recurrent periapical lesion.

Citations

Citations to this article as recorded by  
  • Biomechanical perspectives on dentine cracks and fractures: Implications in their clinical management
    Sishi Chen, Dwayne Arola, Domenico Ricucci, Brian E. Bergeron, John A. Branton, Li-sha Gu, Franklin R. Tay
    Journal of Dentistry.2023; 130: 104424.     CrossRef
  • Efficacy of Autologous Platelet Concentrates in Regenerative Endodontic Treatment: A Systematic Review of Human Studies
    Joanna Metlerska, Irini Fagogeni, Alicja Nowicka
    Journal of Endodontics.2019; 45(1): 20.     CrossRef
  • The preservation of teeth with root-originated fractures
    Eyal Rosen, Ilan Beitlitum, Igor Tsesis
    Evidence-Based Endodontics.2018;[Epub]     CrossRef
  • 145 View
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  • 3 Crossref
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Esthetic enhancement of a traumatized anterior tooth with a combination of forced eruption and tooth alignment: a case report
So-Hee Kang, Jung-Hong Ha, Myoung-Uk Jin, Sung-Kyo Kim, Young-Kyung Kim
Restor Dent Endod 2016;41(3):210-217.   Published online June 1, 2016
DOI: https://doi.org/10.5395/rde.2016.41.3.210
AbstractAbstract PDFPubReaderePub

Exposing sound structure of a subgingivally fractured tooth using orthodontic extrusion is considered to be a conservative way to re-establish biologic width without sacrificing esthetics or jeopardizing periodontal support of neighboring teeth. When a misaligned tooth is traumatically involved, a more comprehensive approach combining tooth extrusion and re-alignment may be necessary for a successful restorative outcome. This case report describes a successful esthetic management of a patient with complicated crown-root fracture on the maxillary right central incisor and pre-existing malocclusion in the maxillary anterior region. Forced eruption along with re-alignment of teeth by orthodontic movement seems to allow re-positioning of the fracture line to a favorable position and correction of crowding, providing a better esthetic result.

Citations

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  • Effects of systematic bisphosphonate use in patients under orthodontic treatment: a systematic review
    Vasileios F Zymperdikas, Maria P Yavropoulou, Eleftherios G Kaklamanos, Moschos A Papadopoulos
    European Journal of Orthodontics.2020; 42(1): 60.     CrossRef
  • In vitro retention efficiency of temporary type zinc oxide cement for orthodontic forced eruption
    Renato Nieto-Aguilar, Deyanira Serrato-Ochoa, Rafael Medina-Navarro, Asdrúbal Aguilera-Méndez, Karina Denisse Morales-Soto, Juan Pablo Loyola-Rodriguez, Antonio Campos, Miguel Alaminos
    International Orthodontics.2019; 17(1): 96.     CrossRef
  • 158 View
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  • 2 Crossref
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Research Article
Fracture resistance of upper central incisors restored with different posts and cores
Maryam Rezaei Dastjerdi, Kamran Amirian Chaijan, Saeid Tavanafar
Restor Dent Endod 2015;40(3):229-235.   Published online July 24, 2015
DOI: https://doi.org/10.5395/rde.2015.40.3.229
AbstractAbstract PDFPubReaderePub
Objectives

To determine and compare the fracture resistance of endodontically treated maxillary central incisors restored with different posts and cores.

Materials and Methods

Forty-eight upper central incisors were randomly divided into four groups: cast post and core (group 1), fiber-reinforced composite (FRC) post and composite core (group 2), composite post and core (group 3), and controls (group 4). Mesio-distal and bucco-lingual dimensions at 7 and 14 mm from the apex were compared to ensure standardization among the groups. Twelve teeth were prepared for crown restoration (group 4). Teeth in other groups were endodontically treated, decoronated at 14 mm from the apex, and prepared for posts and cores. Resin-based materials were used for cementation in groups 1 and 2. In group 3, composite was used directly to fill the post space and for core build-up. All samples were restored by standard metal crowns using glass ionomer cement, mounted at 135° vertical angle, subjected to thermomechanical aging, and then fractured using a universal testing machine. Kruskal-Wallis and Mann-Whitney U tests were used to analyze the data.

Results

Fracture resistance of the groups was as follows: Control (group 4) > cast post and core (group 1) > fiber post and composite core (group 2) > composite post and core (group 3). All samples in groups 2 and 3 fractured in restorable patterns, whereas most (58%) in group 1 were non-restorable.

Conclusions

Within the limitations of this study, FRC posts showed acceptable fracture resistance with favorable fracture patterns for reconstruction of upper central incisors.

Citations

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  • Effect of Ferrule Height on the Fracture Resistance of Endodontically Treated Teeth Restored With Glass Fiber Posts: An In Vitro Study
    Sneha Rathaur, Pankaj K Gupta, Sonal Dhote, Kumari S Pravin, Komal Kishlay, Seema Gupta
    Cureus.2025;[Epub]     CrossRef
  • The Effect of Additional Silane Pre-Treatment on the Microtensile Bond Strength of Resin-Based Composite Post-and-Core Build-Up Material
    Chia-Ying Wu, Keigo Nakamura, Aya Miyashita-Kobayashi, Akiko Haruyama, Yukiko Yokoi, Akihiro Kuroiwa, Nobuo Yoshinari, Atsushi Kameyama
    Applied Sciences.2024; 14(15): 6637.     CrossRef
  • The Influence on Fracture Resistance of Different Composite Resins and Prefabricated Posts to Restore Endodontically Treated Teeth
    Saulo Pamato, Weber Adad Ricci, Milton Carlos Kuga, Eliane Cristina Gulin de Oliveira, João Carlos Silos Moraes, Marcus Vinicius Reis Só, Tamara Carolina Trevisan, Newton Fahl Júnior, Jefferson Ricardo Pereira
    Polymers.2023; 15(1): 236.     CrossRef
  • Comparison of the pull-out bond strength of endodontically treated anterior teeth with monolithic zirconia endocrown and post-and-core crown restorations
    Durmus A. Bozkurt, Emine B. Buyukerkmen, Arslan Terlemez
    Journal of Oral Science.2023; 65(1): 1.     CrossRef
  • Minimally invasive access cavities in endodontics
    Lubna A Abdulrazaq, Ahmed H Ali, Federico Foschi
    Journal of Baghdad College of Dentistry.2023; 35(2): 65.     CrossRef
  • Comparison of Fracture Resistance of Endodontically Treated Teeth With Traditional Endodontic Access Cavity, Conservative Endodontic Access Cavity, Truss Endodontic Access Cavity, and Ninja Endodontic Access Cavity Designs: An In Vitro Study
    Prasad Patil , Pooja Newase, Swapnil Pawar, Hasmukh Gosai , Dharmendra Shah, Sameer M Parhad
    Cureus.2022;[Epub]     CrossRef
  • Effect of different access cavity designs on fracture toughness of endodontically treated teeth: a systematic review and network meta-analysis
    Momina A. Motiwala, Meisha Gul, Robia Ghafoor
    Evidence-Based Dentistry.2022;[Epub]     CrossRef
  • Fracture resistance of polyetheretherketone, Ni-Cr, and fiberglass postcore systems: An in vitro study
    Hossein Pourkhalili, Donya Maleki
    Dental Research Journal.2022; 19(1): 20.     CrossRef
  • The effect of bulk-fill composites: Activa and Smart Dentin Replacement on cuspal deflection in endodontically treated teeth with different access cavity designs
    Rupali Karale, BJ Prathima, BR Prashanth, NS Shivaranjan, Neha Jain
    Journal of Conservative Dentistry.2022; 25(4): 375.     CrossRef
  • Efficacy of Root Canal Instrumentation and Fracture Strength Assessment in Primary Molars after Preparing Two Different Shapes of Access Cavity: An Ex Vivo Histological Study
    Yashika Singhal, Vandana Reddy
    International Journal of Clinical Pediatric Dentistry.2021; 14(4): 518.     CrossRef
  • MANAGEMENT OF ELISS CLASS IV FRACTURE USING FIBER POST : A CASE REPORT
    Shivangi Shreya, Neha Verma
    INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2021; : 13.     CrossRef
  • Effect of intracanal diode laser irradiation on fracture resistance of roots restored with CAD/CAM posts
    Flavia Florentino Teixeira da Silva, André Hayato Saguchi, Sidnea Aparecida Freitas Paiva, Guilherme Espósito Pires, Mariana Isidoro, Aldo Brugnera Junior, Paulo Francisco Cesar, Ângela Toshie Araki
    Brazilian Journal of Oral Sciences.2021;[Epub]     CrossRef
  • Does ultraconservative access affect the efficacy of root canal treatment and the fracture resistance of two‐rooted maxillary premolars?
    A. A. Silva, F. G. Belladonna, G. Rover, R. T. Lopes, E. J. L. Moreira, G. De‐Deus, E. J. N. L. Silva
    International Endodontic Journal.2020; 53(2): 265.     CrossRef
  • Effect of Glass Fiber Post Diameter on Fracture Resistance of Endodontically Treated Teeth
    Saied Nokar, Mahsa Sadat Mortazavi, Somayeh Niakan
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2020;[Epub]     CrossRef
  • One‐step fiber post cementation and core build‐up in endodontically treated tooth: A clinical case report
    José Mauricio dos Santos Nunes Reis, Carlos R. de Moura Oliveira, Erica G. J. Reis, Bruno A. Mascaro, Filipe de Oliveira Abi‐Rached
    Journal of Esthetic and Restorative Dentistry.2020; 32(1): 5.     CrossRef
  • Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies
    Emmanuel João Nogueira Leal Silva, Gabriela Rover, Felipe Gonçalves Belladonna, Gustavo De-Deus, Cleonice da Silveira Teixeira, Tatiana Kelly da Silva Fidalgo
    Clinical Oral Investigations.2018; 22(1): 109.     CrossRef
  • Fracture Strength of Endodontically Treated Teeth with Different Access Cavity Designs
    Gianluca Plotino, Nicola Maria Grande, Almira Isufi, Pietro Ioppolo, Eugenio Pedullà, Rossella Bedini, Gianluca Gambarini, Luca Testarelli
    Journal of Endodontics.2017; 43(6): 995.     CrossRef
  • Comparison of push-out bond strength of fiber-reinforced composite resin posts according to cement thickness
    Jun-Seong Park, Jeong-Sub Lee, Jeong-Won Park, Won-Gyun Chung, Eun-Hee Choi, Yoon Lee
    The Journal of Prosthetic Dentistry.2017; 118(3): 372.     CrossRef
  • Tratamiento restaurador de lesiones dentales traumáticas. Reporte de tres casos clínicos
    Johann Vladimir Uzcátegui Quintero, Alinne Hernández Ayala, Ricardo González Plata, Enrique Ríos Szalay
    Revista Odontológica Mexicana.2017; 21(3): 185.     CrossRef
  • The effects of post and core material combination on the surface strain of the 4-unit zirconia fixed partial denture margins
    Yoko ISHIKAWA, Wataru KOMADA, Tasuku INAGAKI, Reina NEMOTO, Satoshi OMORI, Hiroyuki MIURA
    Dental Materials Journal.2017; 36(6): 798.     CrossRef
  • Restorative treatment of traumatic dental injuries. Report of three clinical cases
    Johann Vladimir Uzcátegui Quintero, Alinne Hernández Ayala, Ricardo González Plata, Enrique Ríos Szalay
    Revista Odontológica Mexicana.2017; 21(3): e179.     CrossRef
  • 248 View
  • 4 Download
  • 21 Crossref
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Case Report
Healing after horizontal root fractures: 3 cases with 2-year follow-up
Yoorina Choi, Sung-Ok Hong, Seok-Ryun Lee, Kyung-San Min, Su-Jung Park
Restor Dent Endod 2014;39(2):126-131.   Published online March 21, 2014
DOI: https://doi.org/10.5395/rde.2014.39.2.126
AbstractAbstract PDFPubReaderePub

Among dental traumas, horizontal root fractures are relatively uncommon injuries. Proper initial management and periodical evaluation is essential for the successful treatment of a root-fractured tooth. If pulpal necrosis develops, endodontic treatment is indicated, exclusively for the coronal fragment. Fragment diastases exert a great influence on healing at the fracture line and on pulpal necrosis. An adequately treated root-fractured tooth has a good prognosis. This case report describes the treatment and 2-yr follow up of 3 maxillary central incisors, first with horizontal root fracture, second with horizontal root fracture and avulsion, and third with horizontal root fracture and lateral luxation. All three cases were treated with mineral trioxide aggregate (ProRoot, Dentsply). During 2 yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing, even after endodontic treatment.

Citations

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  • Clinical applications of calcium silicate‐based materials: a narrative review
    S Küçükkaya Eren
    Australian Dental Journal.2023;[Epub]     CrossRef
  • A three-dimensional finite element analysis of stress distribution in maxillary central incisor with a horizontal mid root fracture after various management protocols
    Kavitha Anantula, Bhavana Vankayala, SarjeevSingh Yadav
    Journal of Conservative Dentistry.2021; 24(5): 470.     CrossRef
  • : The Use of Mineral Trioxide Aggregate in The Treatment of Horizontal Root Fractures: A Case Presentation and Literature Update
    Elif BALLIKAYA, Hamdi GÜNGÖR
    Selcuk Dental Journal.2021; 8(3): 850.     CrossRef
  • Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications
    M. Torabinejad, M. Parirokh, P. M. H. Dummer
    International Endodontic Journal.2018; 51(3): 284.     CrossRef
  • 157 View
  • 1 Download
  • 4 Crossref
Close layer
Research Articles
Cyclic fatigue resistance tests of Nickel-Titanium rotary files using simulated canal and weight loading conditions
Ok-In Cho, Antheunis Versluis, Gary SP Cheung, Jung-Hong Ha, Bock Hur, Hyeon-Cheol Kim
Restor Dent Endod 2013;38(1):31-35.   Published online February 26, 2013
DOI: https://doi.org/10.5395/rde.2013.38.1.31
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the cyclic fatigue resistance of nickel-titanium (NiTi) files obtained in a conventional test using a simulated canal with a newly developed method that allows the application of constant fatigue load conditions.

Materials and Methods

ProFile and K3 files of #25/.06, #30/.06, and #40/.04 were selected. Two types of testing devices were built to test their fatigue performance. The first (conventional) device prescribed curvature inside a simulated canal (C-test), the second new device exerted a constant load (L-test) whilst allowing any resulting curvature. Ten new instruments of each size and brand were tested with each device. The files were rotated until fracture and the number of cycles to failure (NCF) was determined. The NCF were subjected to one-way ANOVA and Duncan's post-hoc test for each method. Spearman's rank correlation coefficient was computed to examine any association between methods.

Results

Spearman's rank correlation coefficient (ρ = -0.905) showed a significant negative correlation between methods. Groups with significant difference after the L-test divided into 4 clusters, whilst the C-test gave just 2 clusters. From the L-test, considering the negative correlation of NCF, K3 gave a significantly lower fatigue resistance than ProFile as in the C-test. K3 #30/.06 showed a lower fatigue resistance than K3 #25/.06, which was not found by the C-test. Variation in fatigue test methodology resulted in different cyclic fatigue resistance rankings for various NiTi files.

Conclusions

The new methodology standardized the load during fatigue testing, allowing determination fatigue behavior under constant load conditions.

Citations

Citations to this article as recorded by  
  • Effect of autoclave sterilization on the cyclic fatigue resistance of EdgeFile X7, 2Shape, and F-one nickel–titanium endodontic instruments
    ArkanH Al-Amidi, HikmetAbdul-Rahim Al-Gharrawi
    Journal of Conservative Dentistry.2023; 26(1): 26.     CrossRef
  • Investigation of cyclic fatigue of rotary endodontic instruments
    Z. S. Khabadze, F. R. Ismailov
    Endodontics Today.2022; 20(1): 28.     CrossRef
  • Torsional Resistance of Heat-Treated Nickel-Titanium Instruments under Different Temperature Conditions
    Hyo Jin Jo, Sang Won Kwak, Hyeon-Cheol Kim, Sung Kyo Kim, Jung-Hong Ha
    Materials.2021; 14(18): 5295.     CrossRef
  • Effect of surface treatment on the mechanical properties of nickel-titanium files with a similar cross-section
    Sang Won Kwak, Joo Yeong Lee, Hye-Jin Goo, Hyeon-Cheol Kim
    Restorative Dentistry & Endodontics.2017; 42(3): 216.     CrossRef
  • Effect from Rotational Speed on Torsional Resistance of the Nickel-titanium Instruments
    Jung-Hong Ha, Sang Won Kwak, Sung Kyo Kim, Asgeir Sigurdsson, Hyeon-Cheol Kim
    Journal of Endodontics.2017; 43(3): 443.     CrossRef
  • Mechanical Properties of Various Heat-treated Nickel-titanium Rotary Instruments
    Hye-Jin Goo, Sang Won Kwak, Jung-Hong Ha, Eugenio Pedullà, Hyeon-Cheol Kim
    Journal of Endodontics.2017; 43(11): 1872.     CrossRef
  • Cyclic Fatigue Resistance and Force Generated by OneShape Instruments during Curved Canal Preparation
    Zhuyu Wang, Wen Zhang, Xiaolei Zhang, Luigi F. Rodella
    PLOS ONE.2016; 11(8): e0160815.     CrossRef
  • Conditioning of root canal anatomy on static and dynamics of nickel-titanium rotary instruments
    Italo Di Giuseppe, Davide Di Giuseppe, Vito Antonio Malagnino, Enrico Paolo Silla, Francesco Somma
    Giornale Italiano di Endodonzia.2015; 29(2): 58.     CrossRef
  • Effect from surface treatment of nickel‐titanium rotary files on the fracture resistance
    Bo Hoon Kim, Jung‐Hong Ha, Woo Cheol Lee, Sang‐Won Kwak, Hyeon‐Cheol Kim
    Scanning.2015; 37(1): 82.     CrossRef
  • Effect of alloy type on the life‐time of torsion‐preloaded nickel‐titanium endodontic instruments
    Jung‐Hong Ha, Sung Kyo Kim, Gary Shun‐Pan Cheung, Seong Hwa Jeong, Yong Chul Bae, Hyeon‐Cheol Kim
    Scanning.2015; 37(3): 172.     CrossRef
  • ‘Screw‐in’ tendency of rotary nickel–titanium files due to design geometry
    J. H. Ha, G. S. P. Cheung, A. Versluis, C. J. Lee, S. W. Kwak, H. C. Kim
    International Endodontic Journal.2015; 48(7): 666.     CrossRef
  • Elastic Limits in Torsion of Reciprocating Nickel-Titanium Instruments
    Jung-Hong Ha, Seo-Ryeong Kim, Antheunis Versluis, Gary Shun-Pan Cheung, Jin-Woon Kim, Hyeon-Cheol Kim
    Journal of Endodontics.2015; 41(5): 715.     CrossRef
  • Buckling resistance, bending stiffness, and torsional resistance of various instruments for canal exploration and glide path preparation
    Sang-Won Kwak, Jung-Hong Ha, WooCheol Lee, Sung-Kyo Kim, Hyeon-Cheol Kim
    Restorative Dentistry & Endodontics.2014; 39(4): 270.     CrossRef
  • Safety of the Factory Preset Rotation Angle of Reciprocating Instruments
    Jin-Woon Kim, Jung-Hong Ha, Gary Shun-Pan Cheung, Antheunis Versluis, Sang-Won Kwak, Hyeon-Cheol Kim
    Journal of Endodontics.2014; 40(10): 1671.     CrossRef
  • Cyclic Fatigue Resistance of Rotary NiTi Instruments after Simulated Clinical Use in Curved Root Canals
    Oscar Faciola Pessoa, Juliana Melo da Silva, Giulio Gavini
    Brazilian Dental Journal.2013; 24(2): 117.     CrossRef
  • Methods and models to study nickel–titanium instruments
    Ya Shen, Gary S.P. Cheung
    Endodontic Topics.2013; 29(1): 18.     CrossRef
  • An overview of the mechanical properties of nickel–titanium endodontic instruments
    Huimin Zhou, Bin Peng, Yu‐Feng Zheng
    Endodontic Topics.2013; 29(1): 42.     CrossRef
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A survey of experience-based preference of Nickel-Titanium rotary files and incidence of fracture among general dentists
WooCheol Lee, Minju Song, Euiseong Kim, Hyojin Lee, Hyeon-Cheol Kim
Restor Dent Endod 2012;37(4):201-206.   Published online November 21, 2012
DOI: https://doi.org/10.5395/rde.2012.37.4.201
AbstractAbstract PDFPubReaderePub
Objectives

The purpose was to investigate the preference and usage technique of NiTi rotary instruments and to retrieve data on the frequency of re-use and the estimated incidence of file separation in the clinical practice among general dentists.

Materials and Methods

A survey was disseminated via e-mail and on-site to 673 general dentists. The correlation between the operator's experience or preferred technique and frequency of re-use or incidence of file fracture was assessed.

Results

A total of 348 dentists (51.7%) responded. The most frequently used NiTi instruments was ProFile (39.8%) followed by ProTaper. The most preferred preparation technique was crown-down (44.6%). 54.3% of the respondents re-used NiTi files more than 10 times. There was a significant correlation between experience with NiTi files and the number of reuses (p = 0.0025). 54.6% of the respondents estimated experiencing file separation less than 5 times per year. The frequency of separation was significantly correlated with the instrumentation technique (p = 0.0003).

Conclusions

A large number of general dentists in Korea prefer to re-use NiTi rotary files. As their experience with NiTi files increased, the number of re-uses increased, while the frequency of breakage decreased. Operators who adopt the hybrid technique showed less tendency of separation even with the increased number of re-use.

Citations

Citations to this article as recorded by  
  • Adoption of rotary instrumentation among general practitioners in Qassim region, Saudi Arabia: A cross-sectional survey
    Badi B. Alotaibi
    Saudi Endodontic Journal.2024; 14(2): 181.     CrossRef
  • Undergraduate Endodontic Training and Its Relation to Contemporary Practice: Multicenter Cross-Sectional Study in Saudi Arabia
    Fahda N. Algahtani, Reem M. Barakat, Lujain M. Alqarni, Alanoud F. Alqabbani, Manal F. Alkadi, Rahaf A. Almohareb, André Luiz Ferreira Costa
    International Journal of Clinical Practice.2023; 2023: 1.     CrossRef
  • Fracture Incidence of Kedo-S Square Pediatric Rotary Files: A Prospective Clinical Study
    Lakshimi Lakshmanan, Ganesh Jeevanandan, Prabhadevi C Maganur, Satish Vishwanathaiah
    European Journal of Dentistry.2022; 16(03): 594.     CrossRef
  • Prevention and management of fractured instruments in endodontic treatment
    Wei-Rong Tang
    World Journal of Surgical Procedures.2015; 5(1): 82.     CrossRef
  • Influence of operator's experience level on lifespan of the WaveOne Primary file in extracted teeth
    Abdulrahman Mohammed Saleh, Saeid Tavanafar, Pouyan Vakili-Gilani, Noor Jamal Al Sammerraie, Faahim Rashid
    Restorative Dentistry & Endodontics.2013; 38(4): 222.     CrossRef
  • 136 View
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  • 5 Crossref
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Case Reports
Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin
Joo-Hee Shin, Ryan Jin-Young Kim
Restor Dent Endod 2012;37(3):180-184.   Published online August 29, 2012
DOI: https://doi.org/10.5395/rde.2012.37.3.180
AbstractAbstract PDFPubReaderePub

Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

Citations

Citations to this article as recorded by  
  • Healing after horizontal root fractures: 3 cases with 2-year follow-up
    Yoorina Choi, Sung-Ok Hong, Seok-Ryun Lee, Kyung-San Min, Su-Jung Park
    Restorative Dentistry & Endodontics.2014; 39(2): 126.     CrossRef
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Re-establishment of occlusion after unilateral condylar fracture
Yookyung Kim, Sung-Ho Park, Byoung-Duck Roh
Restor Dent Endod 2012;37(2):110-113.   Published online May 18, 2012
DOI: https://doi.org/10.5395/rde.2012.37.2.110
AbstractAbstract PDFPubReaderePub

Complications resulting from condylar fracture include occlusal disturbance due to loss of leverage from temporomandibular joint (TMJ). In general, closed reduction with active physical training has been performed, and under favorable circumstances, adaptation occurs in attempt to restore the articulation. The patient in this case report had unilateral condylar fracture accompanied with multiple teeth injuries, but he was left without any dental treatment for 1 mon which led to unrestorable occlusal collapse. Fortunately, delayed surgical repositioning of dislocated maxillary anterior teeth followed by consistent long-term physical training has been proved successful. Normal occlusion and satisfactory remodeling of condyle were obtained on 10 mon follow-up.

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Basic Research
The effects of short-term application of calcium hydroxide on dentin fracture strength
Eun-Jung Shin, Yeong-Joon Park, Bin-Na Lee, Ji-Hyun Jang, Hoon-Sang Chang, In-Nam Hwang, Won-Mann Oh, Yun-Chan Hwang
J Korean Acad Conserv Dent 2011;36(5):425-430.   Published online September 30, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.5.425
AbstractAbstract PDFPubReaderePub
Objectives

This in vitro study investigated whether short-term application of calcium hydroxide in the root canal system for 1 and 4 wk affects the fracture strength of human permanent teeth.

Materials and Methods

Thirty two mature human single rooted mandibular premolars in similar size and dentin thickness without decay or restorations were hand and rotary instrumented and 16 teeth vertically packed with calcium hydroxide paste and sealed coronally with caviton to imitate the endodontic procedure and the other 16 teeth was left empty as a control group. The apicies of all the samples were sealed with resin, submerged in normal saline and put in a storage box at 37℃ to mimic the oral environment. After 1 and 4 wk, 8 samples out of 16 samples from each group were removed from the storage box and fracture strength test was performed. The maximum load required to fracture the samples was recorded and data were analysed statistically by the two way ANOVA test at 5% significance level.

Results

The mean fracture strengths of two groups after 1 wk and 4 wk were similar. The intracanal placement of calcium hydroxide weakened the fracture strength of teeth by 8.2% after 4 wk: an average of 39.23 MPa for no treatment group and 36.01 MPa for CH group. However there was no statistically significant difference between experimental groups and between time intervals.

Conclusions

These results suggest that short term calcium hydroxide application is available during endodontic treatment.

Citations

Citations to this article as recorded by  
  • Effect of Calcium Hydroxide as an Intracanal Medication on Dentine Fracture Resistance: A Systematic Review and Network Meta-Analysis
    Chayanit Sunlakawit, Chitpol Chaimanakarn, Natchalee Srimaneekarn, Sittichoke Osiri
    Journal of Endodontics.2024; 50(12): 1714.     CrossRef
  • 155 View
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Review Article
Mechanical and geometric features of endodontic instruments and its clinical effect
Hyeon-Cheol Kim
J Korean Acad Conserv Dent 2011;36(1):1-11.   Published online January 14, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.1.1
AbstractAbstract PDFPubReaderePub
Abstract Introduction:

The aim of this paper is to discuss the mechanical and geometric features of Nickel-titanium (NiTi) rotary files and its clinical effects. NiTi rotary files have been introduced to the markets with their own geometries and claims that they have better ability for the root canal shaping than their competitors. The contents of this paper include the (possible) interrelationship between the geometries of NiTi file (eg. tip, taper, helical angle, etc) and clinical performance of the files as follows;

- Fracture modes of NiTi rotary files

- Non-cutting guiding tip and glide path

- Taper and clinical effects

- Cross-sectional area and clinical effects

- Heat treatments and surface characteristics

- Screw-in effect and preservation of root dentin integrity

- Designs for reducing screw-in effect

Conclusions:

Based on the reviewed contents, clinicians may have an advice to use various brands of NiTi rotary instruments regarding their advantages which would fit for clinical situation.

Citations

Citations to this article as recorded by  
  • Cyclic fatigue resistance tests of Nickel-Titanium rotary files using simulated canal and weight loading conditions
    Ok-In Cho, Antheunis Versluis, Gary SP Cheung, Jung-Hong Ha, Bock Hur, Hyeon-Cheol Kim
    Restorative Dentistry & Endodontics.2013; 38(1): 31.     CrossRef
  • 185 View
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  • 1 Crossref
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