The incidence of unfilled second mesiobuccal canals and periapical lesions in maxillary molars by cone-beam computed tomography E-VOL DX software

This study evaluated the incidence of unfilled second mesiobuccal (MB2) canals and periapical lesions in first maxillary molars using CBCT e-Vol DX software. Hence, 326 CBCT images of first maxillary molars of patients undergoing endodontic treatment were selected. The e-Vol DX software performed a retrospective review of these images, recording the presence or absence of MB2 canals, filling, and periapical lesions in first maxillary molars. Specific statistical analysis was performed at a 5% significance level. Unfilled MB2 canals were highly frequent in first maxillary molars and significantly associated with periapical lesions in the mesiobuccal root of these teeth (p<0.05). The CBCT e-Vol DX software effectively detected MB2 canals, and unfilled canals may be associated with periapical lesions.

Effectiveness of ultrasonic activation associated to glycolic acid on smear layer removal, dentin structure and bond strength to root dentin

This study evaluated the effects of ultrasonic activation (US) associated to glycolic acid (GA) on smear layer, dentin structure and bond strength (BS) of filling/restorative material to root dentin. The roots were used for antimicrobial activity, dentin structure and BS evaluation, being distributed into seven groups, according to irrigation protocols: G1:DW+US; G2:17% EDTA; G3:QMix; G4:17% GA; G5:17% EDTA+US; G6:QMix+US; G7:17% GA+US. Scanning electronic microscopy, transmission electronic microscopy and push-out were performed, with specific statistical analysis for each evaluation. The highest smear layer removal occured in Groups 6 and 7 (p<0.05), and the largest collagen dispersion in Group 7, being similar to Group 2 and 5 (p>0.05). The highest BS of filling and restorative material occurred in Groups 6 and 7, and Groups 5, 6 and 7, respectively, being similars between them (p>0.05). The use of GA+US promoted effective smear layer removal and dentin structure preservation, improving the BS of filling/restorative material to root dentin.

Avaliação do nível de sujidade de sistemas rotatório e reciprocante após instrumentação e procedimentos de limpeza pré-esterilização / Evaluation of the dirt level of rotary and reciprocating systems after instrumentation and pre-sterilization cleaning procedures

Objetivos: avaliar a sujidade de limas rotatórias e reciprocantes após instrumentação e procedimentos de limpeza pré-esterilização. Materiais e métodos: 24 limas rotatórias e as 24 limas reciprocantes foram divididas, aleatoriamente, em dois grandes grupos. No primeiro grupo, as 12 limas rotatórias e as 12 limas reciprocantes foram divididas, aleatoriamente, em seis subgrupos (SG): SG1 (controle negativo 1/n=1) ­ 1 lima rotatória não submetida à instrumentação; SG2 (controle negativo 2/n=1) ­ 1 lima reciprocante não submetida à instrumentação; SG3 (controle positivo 1/n=1) ­ 1 lima rotatória submetida à instrumentação e não submetida a qualquer protocolo de limpeza; SG4 (controle positivo 2/n=1) ­ 1 lima reciprocante submetida à instrumentação e não submetida a qualquer protocolo de limpeza; SG5 (grupo teste/n=10) ­ 10 limas rotatórias submetidas à instrumentação e submetidas ao protocolo de lavagem manual; SG6 (grupo teste/ n=10) ­ 10 limas reciprocantes submetidas à instrumentação e submetidas ao protocolo de lavagem manual. No segundo grupo, as 12 limas rotatórias e as 12 limas reciprocantes foram divididas, aleatoriamente, nos mesmos subgrupos, substituindo, nos subgrupos 5 e 6, a lavagem manual pela lavagem em cuba ultrassônica. A análise do nível de sujidade foi realizada por microscopia eletrônica de varredura (MEV), sendo os dados submetidos ao teste de Kruskal-Wallis, com nível de significância de 5%. Resultados: a menor média de sujidade entre os grupos experimentais foi encontrada no SG5 do G1, sem diferença significante em relação aos demais grupos testados (p>0,05). Conclusão: conclui-se que os protocolos de limpeza testados não foram completamente efetivos para a remoção de sujidade das limas endodônticas.(AU)

Objective: to evaluate the dirt of rotary and reciprocating files after instrumentation and pre- -sterilization cleaning procedures. Materials and Methods: 24 rotary files and the 24 reciprocating files were randomly divided into two groups. In the 1st group, 12 rotary files and 12 reciprocating files were randomly divided into six subgroups (SG): SG1 (negative control 1/n=1) ­ 1 rotary file not subjected to instrumentation; SG2 (negative control 2/n=1) ­ 1 reciprocating file not subjected to instrumentation; SG3 (positive control 1/n=1) ­ 1 rotary file submitted to instrumentation and not submitted to any cleaning protocol; SG4 (positive control 2/n=1) ­ 1 reciprocating file submitted to instrumentation and not submitted to any cleaning protocol; SG5 (test group/n=10) ­ 10 rotary files submitted to instrumentation and submitted to the manual cleaning protocol; SG6 (test group/n=10) ­ 10 reciprocating files submitted to instrumentation and submitted to the manual cleaning protocol. In the 2nd group, the 12 rotary files and the 12 reciprocating files were randomly divided into the same subgroups, substituting, in subgroups 5 and 6, manual with ultrasonic bath cleaning. The analysis of dirt levels was performed by scanning electron microscopy (SEM), being the data submitted to the Kruskal-Wallis test, with a significance level of 5%. Results: the lowest average of dirt between the experimental groups was found in SG5 of G1, with no significant difference when compared to the other groups (p>0.05). Conclusion: it could be concluded that the cleaning protocols were not completely effective in removing dirt from endodontic files.(AU)

Evaluation of apical transportation and apical root sealing in root canals prepared with mtwo rotary system with and without apical enlargement ­ an in vitro study

The aim of this study was to evaluate apical transportation and apical root canal sealing after root canal filling in human teeth prepared with MTwo® Rotary System with and without apical foramen enlargement. Twenty mandibular premolars were divided into two groups (n=10). Group 1 had root canals prepared 1mm beyond the apical foramen. Group 2 had root canals prepared 1mm below the root canal length. After chemo-mechanical preparation, samples were submitted to scanning electronic microscopy. Apical foramen images had 75x magnification at standardized positions, allowing measurements from the apical foramen area before and after root canal preparation, and after root canal filling. Apical foramen shape and apical transportation, as well as its level of circumferential filling after root canal preparation were accessed using the Image Subtraction System. Scanning electronic microscopy analysis demonstrated that samples of Group 1 showed larger foraminal diameter than samples of Group 2 (p<0.05). Apical foramen transportation was statistically different between Groups 1 and 2 (p=0.0108). Furthermore, the apical foramen sealing also differed statistically between groups 1 and 2 (p=0.0007) and 100% of samples of Group 1 showed apical root canal sealing. Apical root canal sealing was more effective when the root canal was prepared with apical foramen enlargement, even when the apical transportation was detected.

Antimicrobial activity of intracanal dressings composed by natural products associated to chlorhexidine and its influence on dentinal colour change / Avaliação da ação antimicrobiana de medicações intracanais à base de produtos fitoterápicos associados à clorexidina e sua influência na alteração de cor da estrutura dentinária

Purpose: evaluate the antimicrobial activity of intracanal dressings and their influence on dentinal colour changes. Material and methods: eighty single-rooted human extracted teeth were decoronated and divided into eight groups (n=10) according to intracanal dressing protocols inserted into the root canals: G1­distilled water (DW); G2­2% chlorhexidine gel (CHX); G3­calcium hydroxide (Ca[OH]2)+DW; G4­grape seed extract (GSE)+DW; G5­ginger extract (GE)+DW; G6­Ca(OH)2+CHX; G7­GSE+CHX; and G8­GE+CHX. The antimicrobial activity was evaluated by colony-forming units (CFUs) counting and dentinal colour changes was evaluated by digital spectrophotometry. Data were statistically analysed by One-way ANOVA followed by Tukey´s post hoc test (antimicrobial evaluation) and non-parametric Wilcoxon followed by the Mann- Whitney-U test (colour change evaluation) (α=0.05). Results: the highest bacterial reduction was observed in groups 4, 6, 7 and 8, with no significant difference between them (p<0.05). Groups 4 and 7 showed the highest medians of dentinal colour change (p<0.05). Conclusion: the addition of CHX improved the antimicrobial activity of GE-based intracanal dressing, with no effect in GSE-based intracanal dressing; moreover, these protocols induced significant dentinal colour changes. (AU)

Objetivo: avaliar a atividade antimicrobiana de medicações intracanais e sua influência na alteração da cor dentinária. Materiais e métodos: oitenta dentes humanos extraídos unirradiculares foram seccionados e divididos em oito grupos (n = 10), de acordo com os protocolos de medicação intracanal inseridos nos canais radiculares: água destilada G1 (DW); G2-2% de gel de clorexidina (CHX); hidróxido de cálcio G3 ­ (Ca [OH] 2) + DW; extrato de semente de uva G4 (GSE) + DW; extrato de gengibre G5 (GE) + DW; G6- Ca (OH) 2 + CHX; G7 ­ GSE + CHX; e G8-GE + CHX. A atividade antimicrobiana foi avaliada por contagem de unidades formadoras de colônias (UFCs) e as alterações de cor dentinária foram avaliadas por espectrofotometria digital. Os dados foram analisados estatisticamente por ANOVA one-way, seguida pelo teste post hoc de Tukey (avaliação antimicrobiana) e Wilcoxon não paramétrico, seguido pelo teste de Mann- Whitney-U (avaliação da mudança de cor) (α = 0,05). Resultados: a maior redução bacteriana foi observada nos grupos 4, 6, 7 e 8, sem diferença significativa entre eles (p < 0,05). Os grupos 4 e 7 apresentaram as maiores medianas da alteração da cor dentinária (p < 0,05). Conclusão: a adição de CHX melhorou a atividade antimicrobiana da medicação intracanal baseado em GE, sem efeito na medicação intracanal baseado em GSE; além disso, esses protocolos induziram alterações significativas na cor dentinária.(AU)