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Utilizzo di Mineral Trioxide Aggregate nella riparazione di perforazioni della forcazione: due casi clinici
No full textAims: Mineral Trioxide Aggregate (MTA), a Portland Cement-like materi- al, developed in 1993 by M. Torabine- jad, has been suggested in the treat- ment of furcal perforation. The aim of this study is to describe two case reports of teeth with furcal perforation treated with mineral trioxide aggre- gate.
Clinical cases: two molars with a furcal perforation, due to decay and iatro- genic mistake, respectively, were treated with Mineral Trioxide Aggregate during the conventional retreatment. Clinical and radiological controls show the healing of periodontal tissues.
Conclusions: the MTA seems to be the best material in the treatment of furcal perforation. Its excellent action may be connected with highly reduced quantity of liquid and bacterial leak- age, and this clinical condition seems to allow the healing of periodontal tissues
L'anatomia endodontica dei secondi molari superiori: ricerca ex vivo
No full textAim: of the present study was to deter- mine anatomic complexities which can be seen in maxillary second molars, with a specific attention to the presence of MB2 (second mesio-buccal) canals. Methodology: 50 maxillary second molars, which had been extracted for periodontal reasons, were selected for the study, following strict exclusion cri- teria. After determining the different roots, only the mesio-buccal one was examined. Location and number of canals were determined (i) after a normal access cavity, (ii) after a wider removal of dentine from the chamber floor, and (iii) after sectioning the root 4 mm be- low the cementum-enamel junction. Data were collected and analyzed. Results: MB2 canals were present in 44% of the examined teeth (20% of ca- ses showed Weine 2 configuration, while the remaining 24% showed Weine 3 configuration). It was possible to estabilish patency in MB2 canals only in 28% of cases.
Conclusions: MB2 canals are often present in maxillary second molars, being individuated in nearly half cases. This possibility and the presence of an indipendent apex make the research of MB2 canals mandatory during the endodontic treatment
Regenerative endodontics procedure of an immature permanent mandibular molar with a necrotic pulp using biodentine: A 16 months radiographic follow-up
No full textEffetto antimicrobico di due nuovi irriganti nei confronti dell'Enterococcus faecalis: studio comparativo in vitro
Full text linkIntroduction: the antibacteric action of irri- gants in the endodontic therapy could be in- hibited by many factors. The most important one is the presence of bacterial strain (e.g. En- terococcus faecalis) resistant to irrigants and intracanal dressing action. Two new irrigants, based on antibiotics, Tetraclean and Bio Pure MTAD have been recently proposed to face this problem. The aim of this study is to com- pare the antibiotic action of these new irrig- ants.
Methodology: according to NCCLS guide- lines the MIC of Tetraclean and MTAD against Enterococcus faecalis ATCC 29212 strain were determined, using dilutions from 1:2 to 1:2048.
Results: Bio Pure MTAD killed all bacteria until a dilution of 1:256; Tetraclean has shown better results, until 1:1024.
Conclusions: both Bio Pure MTAD and Tetr- aclean proved effective antibacteric action as compared to the Enterococcus faecalis strain examined. Tetraclean was better than MTAD. Other in vitro and in vivo studies should be performed to confirm these data
Regenerative endodontics procedure of an immature permanent mandibular molar with a necrotic pulp using biodentine: A 16 months radiographic follow-up
No full textValutazione comparativa delle lesioni periapicali da Actinomyces: studio preliminare.
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Surface tension comparison of four common root canal irrigants and two new irrigants containing antibiotic
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