There is current concern in the UK over the possible transmission of prions via contaminated surgical instruments. Some dental instruments (endodontic files) raise particular concerns by virtue of their intimate contact with terminal branches of the trigeminal nerve. A visual assessment using a dissecting light microscope and scanning electron microscopy of endodontic files after clinical use a...

This study compares single-dose ibuprofen pretreatment for postoperative endodontic pain. Thirty-nine emergent patients were randomly assigned to 3 groups: placebo, ibuprofen tablets, or ibuprofen liquigels. Patients recorded their pain levels before and at the end of treatment, then every 6 hours for 24 hours after administration of the medications and standard endodontic treatment. Pain evalu...

Background: Nerve injury and an ensuing altered sensation following endodontic treatment is an infrequent and severe complication, which may lead to longstanding disability and may have substantial adverse effects on the patient’s quality of life. This review is aimed at providing the practitioner with the knowledge and useful means to diagnose and manage nerve injury when performing endodontic...

Robotics was successfully applied to the medical field which led to a new scope with vast areas of research; specially, robotics with dental application is relatively an untraveled area to explore. Access opening, bio mechanical preparation and obturation are the three vital steps in endodontic treatment. This procedure is time consuming and completely relies on the clinician’s mastering skills...

This report describes the case of an 8-year-old boy that was referred to endodontic and orthodontic treatment after suffering an injury that led to intrusion of the maxillary right permanent central incisor, palatal displacement of the upper right lateral incisor, and root fracture of both central incisors. Both injured teeth were immature and had open apices. The intruded tooth was repositione...

introduction: the aim of this randomized-controlled clinical trial was to assess the effect of intraligamentary (pdl) injection of dexamethasone on onset and severity of post-treatment pain in patients with symptomatic irreversible pulpitis. methods and materials: a total number of 60 volunteers were included according to the inclusion criteria and were assigned to three groups ( n =20). after ...

Root perforations may occur due to pathological processes or treatment consequences. Such perforations are severe complications and are associated with dramatically compromised endodontic treatment outcomes, especially when bacterial infection is allowed to establish and if the seal between the endodontic space and periradicular tissue is not provided. A new known material, mineral trioxide agg...

Endodontic treatment of mandibular molars is challenging because of variable root canal morphology. The nonsurgical endodontic management of a mandibular first molar presenting an independent middle mesial canal is reported. After coronal access, additional clinical inspection of the mesial canals' orifices and their interconnecting groove using an endodontic explorer and 4.5× loupes enabled th...

The purpose of this study was to assess the effectiveness of endodontic irrigants in removing the smear layer from instrumented root canal walls using Scanning Electron Microscopy (SEM). The endodontic irrigants used were: 1% sodium hypochlorite (NaOCl); 1% NaOCl mixed to 17% EDTAC; 2% chlorhexidine gel; and Ricinus communis gel. Photomicrographs of the middle and apical thirds were evaluated w...