Modern Management of Endodontically Treated Teeth

A special issue of Prosthesis (ISSN 2673-1592).

Deadline for manuscript submissions: 12 August 2024 | Viewed by 6403

Special Issue Editor

Special Issue Information

Dear Colleagues,

Coronal and root fractures are the most frequent cause of teeth extraction in patients undergoing root canal therapy. Moreover, this is associated with the structural alteration of the teeth, which, following the loss of coronal tissue and endodontic treatment, significantly modifies their biomechanical behaviour. On the one hand, the loss of pulp tissue leads to the dehydration, demineralization, and alteration of the collagen component of the tooth. Furthermore, the lack of a coronal seal can result in bacterial micro infiltration, which is potentially the cause of reinfection of the root canal system. From this point of view, the possibility of endodontically treating teeth using minimally invasive approaches should be considered. The literature presents many studies related to the restoration of endodontically treated teeth. While there is much debate about the costs and benefits of the different types of restoration, it is, without a doubt, the quantity and quality of the residual dental tissue that must guide the clinician in choosing the type of restoration. Furthermore, root canal retention protocols should be used that do not cause further damage to the residual dental tissue. In brief, the correct management of the aspects listed above and adequate post-endodontic coronal restoration influence the long-term survival of endodontically treated teeth.

Dr. Alfredo Iandolo
Guest Editor

Manuscript Submission Information

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  • endodontics
  • restorative
  • prosthesis

Published Papers (1 paper)

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11 pages, 2664 KiB  
Effectiveness of Different Irrigation Techniques on Post Space Smear Layer Removal: SEM Evaluation
by Alfredo Iandolo, Massimo Pisano, Dina Abdellatif, Alessandra Amato, Francesco Giordano, Alessio Buonavoglia, Giuseppe Sangiovanni and Mario Caggiano
Prosthesis 2023, 5(2), 539-549; - 2 Jun 2023
Cited by 1 | Viewed by 5893
Background: Effective debris and smear layer removal affects post-cementation and bond strength. Aim: The aim was to compare the effectiveness of debris and smear layer removal using standard irrigation and activated irrigation with heated EDTA. Moreover, an irrigant activation technique was chosen in [...] Read more.
Background: Effective debris and smear layer removal affects post-cementation and bond strength. Aim: The aim was to compare the effectiveness of debris and smear layer removal using standard irrigation and activated irrigation with heated EDTA. Moreover, an irrigant activation technique was chosen in the current research, employing the ultrasonic activation of an EDTA solution after being heated directly inside the post space preparation. Materials and Methods: 30 single-rooted human mandibular premolar teeth were used in the current study to test the proposed techniques. First, the teeth were cut to have standardised roots 18 mm in length and prepared endodontically, and then the post space was carried out on all the samples. Then the specimens were randomly distributed into three study groups according to the post space irrigation technique. In detail, the groups were group 1, where a 3D cleaning technique was used; group 2, where the traditional irrigation with EDTA was applied; and group 3, where only saline as an irrigant was used. The third group was considered the control group. Next, the teeth were segmented and analysed via scanning electron microscopy (SEM). The magnification was used to evaluate and score the smear layer and debris. Statistical analysis was undertaken using the classic statistical software package (SPSS, version 28.0; SPSS IBM, Armonk, NY, USA). Then, the data were interpreted with a non-parametric analysis of variance (Kruskal–Wallis ANOVA) among the experiment groups. The significance level was decided as p < 0.05. In addition, statistically significant (p < 0.05) lower mean smear layer and debris scores were found in both the examination groups compared to the control group. Results: group 1 demonstrated better results compared to group 2 in terms of cleaning the dentinal walls. Conclusions: The current research concluded that the EDTA 3D cleaning technique is an effective irrigation technique for clearing debris and smear layers in the post space. Future research, such as on push-out bond strength, should be used to verify this research’s conclusions. Key findings: The use of ultrasonically activated heated EDTA improved the smear layer removal. The use of the 3D cleaning technique resulted in better post space cleaning. Full article
(This article belongs to the Special Issue Modern Management of Endodontically Treated Teeth)
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