Results: 147

For: endodontics

Study suggests increased failure risk in root treated teeth with less coronal structure restored with fibre post

shutterstock_50711971

The aim of this study was to assess whether the amount of residual coronal structure and the type of cement used for fibre post luting (self-adhesive cement vs. composite core material) affected the four-year survival of root-filled premolars. Patients requiring endodontic treatment and single-unit crown restoration of premolars were eligible.  Patients were divided into two [read the full story…]

Trial suggests that two types of mineral trioxide aggregate both out perform calcium hydroxide for primary molar pulpotomy

shutterstock_54785035-cement

The aim of this study was to evaluate and compare two different white MTA cements as pulpotomy medicaments in human primary teeth, Pro-Root MTA and MTA Angelus. Child patients with deep occlusal carious lesion, which presented potential risk of pulp exposure during complete removal of carious dentin, as determined by clinical and radiographic assessment were [read the full story…]

On-demand analgesic use following root canal treatment resulted in similar pain relief but reduced consumption compared with regular prescription

pulp

The management of pre- and post-operative pain is a key component of endodontic treatment with studies reporting that the incidence of post operative pain (flare-up) ranges from  3-58%.   Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common medication used for managing pain after root canal treatment (RoCT). The aim of this study was to compare the [read the full story…]

Currently insufficient evidence to decide if antibiotics are effective in treating irreversible pulpitis

shutterstock_70250746

Irreversible pulpitis often presents as an acute and intense pain and is a frequent reason for emergency dental visits.  Treatment involves accessing the root canal of the tooth to remove the inflamed pulp (nerve) and cleaning the root canal. The aim of this review was to assess the effects of systemic antibiotics for irreversible pulpitis. [read the full story…]

Use of buffered lidocaine did not provide better pain control than unbuffered lidocaine for incision and drainage procedures

shutterstock_7431811

A 2010 Cochrane review (Cepeda et al) found that there was less pain associated with pain on injection and augmented patient comfort and satisfaction with the use of buffered lidocaine compared with unbuffered lidocaine in both parallel and crossover trials. Although none of the 23 trials included in the review were dental.  The aim of [read the full story…]

Study suggests an increasing number of Americans are being hospitalised with periapical abscesses

shutterstock_86375797

Periapical abscess is sequelae of the death of the dental pulp often as a result of dental caries or trauma.  It is normally managed in dental practice with root canal treatment or extraction. However, if left untreated it can lead in some circumstances lead to the destruction of bone and the spread of infection to [read the full story…]

Review finds limited evidence for predisposing factors for irrigant extrusion during root canal treatment

shutterstock_17046487

Irrigation of root canals is an integral part of root canal treatment. A range of irrigant materials have been used with sodium hypochlorite being the material most currently favoured.  However this and other agents can cause damage if not kept within the confines of the root canal system.  The aim of this review was to [read the full story…]

Practice-based trial find better outcomes with MTA for direct pulp-capping in permanent teeth

shutterstock_54785035-cement

Exposure of the dental pulp is an occasional hazard associated with dental treatment. Direct pulp capping is a procedure in which a medicament is placed directly over the exposed dental pulp, with the specific aim of maintaining pulp vitality and health. Calcium hydroxide (CaOH) has for many years been considered the material of choice for [read the full story…]

Weak evidence for success rates of dental restorations placed on root-treated teeth

shutterstock_123309112

Root canal treatment (RoCT) is a common dental procedure and an understanding of the survival of RoCT teeth and their restorations is an important consideration. The aim of this review was to assess the success rates for single crowns, fixed and removable dental prostheses, as well as for the different kinds of posts placed on [read the full story…]

Small study found that pre-operative ibuprofen improved efficacy of inferior alveolar nerve blocks

shutterstock_70250746

Inferior alveolar nerve block (IANB) is a routine technique for achieving regional anaesthesia. However, it is not always successful, with inflammation being a potential cause.  The aim of this study was to evaluate the effect of preoperative oral ibuprofen (IBU) on the success of inferior alveolar nerve blocks (IANBs) with mepivacaine containing 1: 100 000 epinephrine for [read the full story…]