European Society of Endodontology position statement: Revitalization procedures.

This position statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on revitalization procedures. The statement is based on current clinical and scientific evidence as well as the expertise of the committee. The goal is to provide suitably trained dentists with a protocol including procedural details for the treatment of immature teeth with pulp necrosis as well as a patient consent form. Revitalization is a biologically based treatment as an alternative to apexification in properly selected cases. Previously published review articles provide more detailed background information and the basis for this position statement (Journal of Endodontics, 39, 2013, S30; Journal of Endodontics, 39, 2013, 319; Journal of Endodontics, 40, 2014, 1045; Dental Traumatology, 31, 2015, 267; International Endodontic Journal, 2015, doi: 10.1111/iej.12606). As controlled clinical trials are lacking and new evidence is still emerging, this position statement will be updated at appropriate intervals. This might lead to changes to the protocol provided here.

External cervical resorption: an analysis using cone beam and microfocus computed tomography and scanning electron microscopy.

AIM: To provide a three-dimensional representation of external cervical resorption (ECR) with microscopy, stereo microscopy, cone beam computed tomography (CT), microfocus CT and scanning electron microscopy (SEM). SUMMARY: External cervical resorption is an aggressive form of root resorption, leading to a loss of dental hard tissues. This is due to clastic action, activated by a damage of the covering cementum and stimulated probably by infection. Clinically, it is a challenging situation as it is characterized by a late symptomatology. This is due to the pericanalar protection from a resorption-resistant sheet, composed of pre-dentine and surrounding dentine. The clastic activity is often associated with an attempt to repair, seen by the formation of osteoid tissue. KEY LEARNING POINTS: Cone beam CT is extremely useful in the diagnoses and treatment planning of ECR. SEM analyses provide a better insight into the activity of osteoclasts. The root canal is surrounded by a layer of dentine that is resistant to resorption.

Paediatric dentist's ability to detect and diagnose dental trauma using 2D versus 3D imaging.

BACKGROUND: Visualisation of the third dimension has been reported to increase effectiveness of correctly diagnosing traumatic dental injuries. AIM: To assess the ability of paediatric dentists to detect and diagnose Traumatic Dental Injuries (TDI) using two different imaging modalities, intraoral radiographs (2D) and CBCT scans (3D). In addition, observer's confidence regarding the obtained diagnosis, using either technique, was assessed. MATERIAL AND METHODS: Both 2D and 3D images of 20 dental trauma cases in children were presented in random order to a panel of thirteen paediatric dentists. Observers received instructions for the screening of the images for radiographic findings related to dental trauma, using structured scoring sheets for 2D and 3D images. Observed data were compared to those recorded by two experienced benchmark observers. A ten-point scale was used for assessing observer's confidence regarding their final diagnosis using 2D versus 3D images. RESULTS: Performance of individual observers showed wide variation. Statistical significance was reached for correctly detected and correctly diagnosed findings (p = 0.02), in favor of 3D. Most of the observers reported comparable confidence using 2D and 3D, two observers were more confident using 3D and one observer was more confident using 2D. CONCLUSIONS: Paediatric dentist's ability to detect and diagnose findings in patients with TDI was higher on 3D images. Most observers showed a similar confidence score of their diagnostic performance both on 2D and on 3D.

Gasoline vapor exposures. Part I. Characterization of workplace exposures.

Monitoring surveys of gasoline vapor exposures were conducted on truck drivers and terminal operators from five terminal loading facilities, on dockmen and seamen at two tanker/barge loading facilities, and on attendants at a single expressway service plaza. Results revealed wide variations in total C6+ hydrocarbon exposures for each location, with overall 8-hr time-weighted averaged (TWA) geometric means of 5.7 mg/m3 (1.4 ppm) for the terminals, and 4.0 mg/m3 (1.0 ppm) for the service plaza, respectively. The exposures ranged from 0.8 to 120.8 mg/m3 (0.2-30.1 ppm) for the terminals, and from 1.1 to 130.3 mg/m3 (0.3-32.5 ppm) for the service plaza. For the terminals, exposures were not significantly different regardless of loading method or the presence or absence of vapor recovery systems. Comprehensive chemical analyses of terminal employee exposure samples revealed that the C4 and C5 hydrocarbon components constituted 74.8 +/- 9.2% of the total exposure sample on a microgram/sample basis. The C6, C7, and C8+ components constituted 13.0 +/- 1.9, 6.2 +/- 3.0, and 5.9 +/- 7.2% of the total samples, respectively. Comprehensive analyses of the marine employee exposure samples resulted in a similar distribution of components; that is, 66.6 +/- 7.9, 17.5 +/- 4.7, 9.2 +/- 3.1, and 6.4 +/- 1.9% for the C4/C5, C6, C7, and C8+ components, respectively. The composition of the exposures, however, was weighted more toward the C5, C6 and C7 components when compared to the bulk terminal employee exposures.(ABSTRACT TRUNCATED AT 250 WORDS)

Gasoline vapor exposures. Part II. Evaluation of the nephrotoxicity of the major C4/C5 hydrocarbon components.

Analysis of workplace exposures to gasoline vapors revealed that C4 and C5 hydrocarbons constitute anywhere from 67 to 74% by weight of a typical vapor. Furthermore, it was found that n-butane, isobutane, n-pentane, and isopentane together comprise greater than 90% of all the C4/C5 vapor components and approximately 61 to 67% by weight of the total vapor. Accordingly, a 21-day inhalation toxicity study of a blend consisting of 25% (w/w) each of these four hydrocarbons was conducted using rats to assess the potential for these major gasoline vapor components to induce kidney damage. No evidence of the kidney lesions typically associated with hydrocarbon-induced nephropathy was observed in rats exposed at up to 11 800 mg/m3 (4437 ppm) of the blend.