Documente Academic
Documente Profesional
Documente Cultură
16, 2004
group A: restored with metal ceramic (porcelain fused to metal [PEM]) crown as control; group B;
2 mm ferrule/custom cast post-core / PFM crowns; group C: no ferrule/custom cast post-core /
PFM crowns; and group D: 2-mm ferrule / prefabricated post and resin core/PFM crowns. Each
specimen was subjected to load (N) on the lingual surface at a 135-degree cm/min. One way
analysis of variance and nonparametric chi-square test were used to compare the results. A
significant analysis of variance result was followed by Newman Keuls pairwise multiple
comparisons (p<.05).
Result : There were significant differences among the 4 groups studies (p<.01). Group B had the
highest fracture strength (1793.59 + 387.93N). There was no significant difference among the
fracture resistances of the other 3 groups (group A: 958.49 + 286.02 N; group C: 992.98 + 291.00
N; group D: 994.94 + 285.04 N).
Conclusion : Within the limitations of this study, not all of the post-core structures tested improved
the strength of the endodontically treated teeth. Those prepared with a 2-mm dentin ferrule more
effectively enhanced the fracture strength of custom cast post-core restored endodontically treated
maxillary central incisors.
Source : J Prosthet Dent 2003; 89:368-73.
Abstract : The purpose of this study was to compare the depth of sealer penetration into dentinal
tubules by three root-filling techniques using light microscopy and digital image processing.
Thirty-two maxillary central incisors were prepared. Two teeth were separated for the control
group. The rest were divided into three equal groups and-Obturated as following - G I : lateral
condensation; G2:warm vertical compaction of gutta-percha and G3: T) 1ermafil system. Each
sample was sectioned longitudinally and prepared for microscopic analysis. A sequence of
photomicrographs with magnifications of XSO, X200 and XSOO were taken. Through digital image
analysis and processing, measurements for each field were obtained. A non-parametric ANOVA
Kruskal-Wallis analysis was used to determine whether there were significant differences among
the groups. Significant differences between G2 and G I (p = 0.034) and between G3 and G I (p =
0.021) were identified. There were no significant differences between G2 and G3 (p > 0.05). The
results of this research suggest that samples root-filled by thermoplasticised gutta-percha
techniques lead to deeper penetration of the root canal sealer into the dentinal tubules.
Source : Austr. Endod. J. 2004; 30:23-28
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Current endodontic literature
Dr E Elizabeth Martin, BDS (Hons), MOS, PhD, FRACOS, Faculty of Dentistry, University of
Sydney, Australia.
Address for correspondence: Dr E Elizabeth Martin, Faculty of Dentistry, University of Sydney,
Westmead Centre for Oral Health, Westmead Hospital, PO Box 533, Wentworthville, NSW,
2145, Australia.
Abstract : Dental caries is the result of microbial activities that induce the progressive localized
destruction of teeth. Without treatment, this eventually results in infection of the dental pulp and
surrounding periapical tissues. Although the bacteria responsible for caries initiation and early
caries progression have been extensively studied, the microbiology of dentine caries reportedly
shows considerable diversity and the associated microflora has not yet been fully identified. A
search of the literature shows that few studies have analyzed the microbiology of deep caries or
examined the relationship between this microflora and the histopathology of chronic pulpitis in
symptomatic teeth.
The majority of the studies investigating the microbiology of carious dentine have used traditional
culture methodology that has been reported to be fraught with difficulties and to underestimate
the microbial populations. However, recent work using new technology in the form of Polymerase
Chain Reaction (PCR) has shown potential by enhancing the identification and quantification of
bacteria from complex environments. Application of this technology to carious dentine has identified
an environment dominated by anaerobic organisms and containing significant numbers of Gram-
negative bacteria that have been strongly implicated in endodontic infections subsequent to carious
pulpitis.
Examination of the histopathology of pulp sections from teeth extracted as a result of carious
pulpitis showed pulpal reactions ranging from minimal inflammation to marked inflammatory
infiltration of the pulp tissue. Of interest, were hard and soft tissue pathologic changes noted in
the pulp tissues resulting from the combined effects of the carious microorganisms and the host
tissue response.
Improved knowledge of the microbial species associated with pulpitis could create the potential
for development of diagnostic tools and restorative materials with appropriate antimicrobial
properties.
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