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4 results on '"VITAL TEETH"'

1. The clinical outcomes of vital intact teeth close to large cystic lesions of endodontic origin: A prospective clinical study.

Author

Erovigni, Francesco, Bosso, Ilaria, Alovisi, Mario, Mela, Luca, Bianchi, Lorenzo, Bobba, Ilaria, Migliaretti, Giuseppe, Bianchi, Caterina Chiara, and Pasqualini, Damiano

Subjects
*CONE beam computed tomography, *TOOTH roots, *TEETH, *RADICULAR cyst, *ENDODONTICS, *TREATMENT effectiveness, *DENTIGEROUS cyst
Abstract

Aim: To evaluate the indication of the endodontic treatment for vital intact teeth with the root apex involved in large radicular cystic lesions of endodontic origin. Methodology: This prospective cohort study enrolled healthy participants with radicular cysts of endodontic origin and with the root apex of vital intact teeth involved in the bone defect, as determined by cone beam computed tomography (CBCT). Thirty‐two sound vital teeth were analysed by thermal (TPT) and electric pulp tests (EPT) before surgery (T0) and 1 week (T1), 2 weeks (T2), 3 months (T3) and 6 months (T4) post‐surgery. Student's t‐test (p <.05) was used to compare the EPT values at baseline and T4. anova (p <.05) was used to analyse the EPT variations for all maxillary and mandibular teeth. McNemar test (p <.05) was used to compare the results according to variation in EPT values gathering by variation, no variation and no response. Results: At T1, 75 and 65.7% of teeth responded positively whilst 25 and 34.3% did not respond to EPT and TPT, respectively. The variation of the EPT values between T0 and T1 was observed for 50.0% of teeth, whilst no variation was noticed in 25.0% of teeth. At T4, 90.6 and 87.5% of teeth responded positively whilst 9.4 and 12.5% did not respond to EPT and TPT, respectively. At T4, variation of the EPT values between T0 and T4 was observed for 28.1%, whilst no variation was noticed in 62.5% of teeth. There were no statistical differences in EPT results between T0 and T4 (p >.05), but significant differences were observed for EPT values between T1 and T4 (p <.05), and between mandibular and maxillary teeth. The pulp sensibility of maxillary teeth worsened after surgery, before reverting progressively to T0 values, whilst no statistically significant differences were observed for mandibular teeth at the different time points. Conclusions: These data support the inconsistence of the prophylactic endodontic treatment in healthy vital teeth with apex involvement in large cystic lesions of endodontic origin. Post‐surgery follow‐up with TPT and EPT is recommended to assess pulp status. [ABSTRACT FROM AUTHOR]

Published
2024
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2. Porcelain Veneers in Vital vs. Non-Vital Teeth: A Retrospective Clinical Evaluation.

Author

Zarow, Maciej, Hardan, Louis, Szczeklik, Katarzyna, Bourgi, Rim, Cuevas-Suárez, Carlos Enrique, Jakubowicz, Natalia, Nicastro, Marco, Devoto, Walter, Dominiak, Marzena, Pytko-Polończyk, Jolanta, Bereziewicz, Wioletta, and Lukomska-Szymanska, Monika

Subjects
*TEETH, *MANN Whitney U Test, *PUBLIC health
Abstract

Nowadays, the ceramic veneer approach can be considered more predictable than direct composite veneer. To date, there is a lack of studies comparing the clinical performance of anterior veneers cemented on vital teeth (VT) and non-vital teeth (NVT). This longitudinal clinical study investigated the performance of ceramic veneers in VT or anterior NVT. A total of 55 patients were evaluated in the study. Two groups were defined based on the vitality status of the teeth (93 teeth—vital and 61 teeth—non-vital). The United States Public Health Service (USPHS) criteria were used to assess the clinical status. The data were evaluated statistically with the Mann–Whitney U test. All restorations were considered acceptable, and only one veneer in VT failed for the criteria of secondary caries. There were no statistically significant differences in any of the criteria evaluated (p ≤ 0.671). The ceramic veneers evaluated showed a satisfactory clinical performance both in VT and NVT. [ABSTRACT FROM AUTHOR]

Published
2023
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3. Orthodontic-induced External Root Resorption of Endodontically Treated Teeth: A Meta-analysis.

Author

Alhadainy, Hatem A., Flores-Mir, Carlos, Abdel-Karim, Amany H., Crossman, Jacqueline, and El-Bialy, Tarek

Subjects
RANDOM effects model, FIXED effects model, TEETH, META-analysis, ROOT canal treatment
Abstract

The difference in the amount of orthodontic-induced external root resorption (OIERR) of endodontically treated teeth (ETT) compared with vital pulp teeth (VPT) treatment is controversial. This systematic review and meta-analysis assessed the available evidence regarding OIERR of ETT compared with VPT. PubMed, Scopus, MEDLINE, Web of Science, and Cochrane databases were searched up to May 2018 to retrieve relevant studies. The studies were evaluated for eligibility criteria, and the risk of bias was assessed using the Risk of Bias In Non-randomised Studies of Interventions tool (Cochrane Bias Methods Group, Odense, Denmark). Weighted means of OIERR in ETT and VPT were calculated using a fixed effects model, and a random effects model was used to assess the significance of treatment effects. Eight studies were identified, from which 7 were included in the meta-analyses. The funnel plot of the random effects model exhibited a symmetrical distribution, which indicates no publication bias of the included studies. Because of the significant heterogeneity between studies, a random effects model was used. Significantly less OIERR for ETT was identified compared with their contralateral VPT. Endodontic treatment does not seem to increase OIERR. • Evidence about OIERR of ETT and VPT was assessed. • Endodontic treatment does not seem to increase OIERR. • Root canal therapy is advocated for inflamed teeth prior orthodontic treatment. [ABSTRACT FROM AUTHOR]

Published
2019
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4. Geniş madde kayıplı vital dişlerde direkt, indirekt ve CAD/CAM restorasyonların klinik başarısının karşılaştırmalı olarak incelenmesi

Author

Ercan Devrimci, Elif, Pamir, Tijen, Diğer, and Sağlık Bilimleri Enstitüsü

Subjects
Daimi Diş, Vital Teeth, Teeth, Indirect Resin Composite, Dental materials, Dental cements, İndirekt Rezin Kompozit, Direct Resin Composite, Dental restoration, Composite resins, CAD/CAM Resin Nano-Ceramic, CAD/CAM, Klinik Başarı, Diş Hekimliği, Direkt Rezin Kompozit, Clinical Success, Dentistry, CAD/CAM Rezin Nano-Seramik, Dental porcelain
Abstract

Bu çalışmada bir ya da daha fazla tüberkül hasarını da içine alan geniş ve büyük lezyonlu posterior bölge dişlerinin direkt, indirekt rezin kompozit ya da bir CAD/CAM rezin nano-seramik ile restore edilmesi ve 30 ay süreyle klinik olarak izlenmesi amaçlandı. Bu arada elde edilen klinik bulgulara göre restorasyon tiplerinin performansları birbirleriyle kıyaslandı. Bu amaçla çalışmaya 82 hastada toplam 139 restorasyon dahil edildi. Direkt rezin kompozit uygulanan kavitelere preparasyon sonrası "self-etch" yani kendinden asitli bir adeziv sistem (Clearfil SE Bond, Kuraray, Okayama, Japonya) uygulandı. Ardından kavitelere mikro-hibrit rezin kompozit (Gaenial Posterior, GC Dental Products Corp., Aichi, Japonya) yerleştirilerek restorasyonlar tamamlanıp, polisaj ve bitirme işlemleri yapıldı. İndirekt restorasyonlar için mekanik kavite prensiplerine göre kaviteler hazırlandıktan sonra, ölçüsü alınıp alçı modelleri elde edildi. Alçı modeller üzerinde, mikro-hibrit rezin kompozitle (TesceraTM Indirect Composite System, Bisco, Schaumburg, IL, Amerika) restorasyonlar laboratuvarda hazırlandı ve sistemin kendine özgü kompozit fırınınında (TesceraTMATLTM Bisco, Schaumburg, IL, Amerika) su, ısı, ışık ve basınç altında polimerizasyon tamamlandı. Bitirme işlemi laboratuvarda tamamlanan restorasyonlar, bir "self-adhesive" yani kendinden bağlanan rezin yapıştırıcı siman (RelyX U-200, 3M ESPE, St.Paul, MN, ABD) aracılığıyla sadece minenin asit ile pürüzlendirilmesini takiben kavitelere yerleştirildi. Bilgisayar destekli tasarım ve bilgisayar destekli üretim "CAD/CAM" restorasyonlar için yine mekanik kavite prensiplerine göre hazırlanan kavitelerin ağız içi kamerayla dijital ölçüleri (Bluecam AC, Sirona, Bensheim, Almanya) alındı. Alınan bu ölçüler bilgisayara (Cerec System, Sirona, Bensheim, Almanya) aktarılıp ilgili yazılımla (Cerec 4.2, Sirona, Bensheim, Almanya) tasarımı gerçekleştirildi (bilgisayar destekli tasarım = CAD). Tasarımı tamamlanan restorasyonlar sisteme bağlı kazıma ünitesine yerleştirilen rezin nano-seramik blokların (LavaTM Ultimate, 3M ESPE, II St.Paul, MN, ABD) hasta başında işlenmesi sonucu üretildi (bilgisayar destekli üretim = CAM). Ardından restorasyonlar yine "self-adhesive" rezin yapıştırıcı siman aracılığıyla sadece minenin asit ile pürüzlendirilmesini takiben kavitelere yerleştirildi. Restorasyonların klinik başarısı, FDI kriterleri (World Dental Federation-Clinical criteria) kullanılarak estetik, biyolojik ve fonksiyonel parametrelerde yer alan toplamda 14 adet kriter üzerinden başlangıçta ve 6, 12, 18, 24 ve 30.aylarda değerlendirildi. Restorasyon tipleri arasında biyolojik açıdan çalışmanın herhangi bir döneminde anlamlı bir farklılık izlenmezken (p>0.05); estetik parametrelerde direkt rezin restorasyonların, fonksiyonel parametrede ise indirekt restorasyonların üstünlüğü (p0.05). Böylece çalışmanın sonunda genel değerlendirmede restorasyon tipleri arasında herhangi bir farka rastlanmadı (p>0.05). Restorasyon tipleri kendi içlerinde değerlendirildiklerinde; indirekt restorasyonların başarısının çalışmanın başından sonuna kadar değişmeden aynı kaldığı gözlendi. Direkt ve CAD/CAM restorasyonlarda çeşitli kontrol dönemlerinde performans değişiklikleri izlendi. Bu çalışmanın sonuçlarına göre, restorasyonların ağızda kalma oranları 30 aylık izleme periyodunun sonunda indirekt rezin kompozit restorasyonlar için %95,6 direkt rezin restorasyonlar için %89,4 ve CAD/CAM restorasyonlar için %84,4'tü., The aim of this study was to follow the clinical performance of direct, indirect resin composite and CAD/CAM resin nano-ceramic restorations in wide and deep lesions of posterior teeth during 30 months. Additionally, clinical success of indirect, direct and CAD/CAM restorations were compared with each other. 139 restorations in 82 patients were included to this study. For direct restorations, following the preparation of the cavities as usual, microhybrid resin composites (Gaenial posterior, GC Dental Products Corp., Aichi, Japan) were applied with the self-etch adhesive system (Clearfil SE Bond, Kuraray, NewYork, USA). After placement of the restorations, finishing and polishing procedures were completed. For indirect restorations, cavities were prepared according to mechanical cavity designs and stone moulds were obtained after the impression. Via those moulds, microhybrid resin composite restorations (TesceraTM Indirect Composite System, Bisco, Schaumburg, IL, USA) were tailored and polymerized under pressure/water/heat/light oven of the system TesceraTM ATLTM (Bisco, Schaumburg, IL, USA). Before placement of the restorations to the cavity, finishing and polishing procedures were completed. Obtained restorations which were completed in the laboratory were placed to the cavities by self-adhesive luting cement (RelyX U-200, 3M ESPE, St.Paul, MN, USA) after selective enamel etching. For another group computer aided design and computer aided manifacturing "CAD/CAM" resin nano-ceramic restorations, cavities were prepared according to mechanical cavity designs and digital impressions were made with intraoral camera (Bluecam, Sirona, Bensheim, Germany). The digital impressions transferred to the computer (Cerec System, Sirona, Bensheim, Germany) and were carried out of the design with the corresponding software (Cerec 4.2, Sirona, Bensheim, Germany) (computer aided design = CAD). The completely designed restorations were produced IV by using a chairside CAD/CAM technology (computer aided manifacturing = CAM) after resin nano-ceramic blocks (LavaTM Ultimate, 3M ESPE, St.Paul, MN, USA) were placed in the scraping unit attached to the system. Then fabricated restorations were luted using a self-adhesive resin cement with selective enamel conditioning. The clinical success of all restorations were evaluated with FDI Criteria as esthetically, biologically and functionally at baseline, 6, 12, 18, 24 and 30 months. While there was no significant difference biologically in restoration types at any time during the whole study (p>0.05); it was emphasized the superiority of indirect restorations in functional parameters and direct resin restorations in esthetic parameters were observed (p0.05). Thus, at the end of the study, no difference was found between the types of restorations in overall clinical success (p>0.05). When restoration types are evaluated within themselves; the success of indirect restorations remained unchanged from beginning to end of the study. The performance of the direct and CAD / CAM restorations were changed at various control periods of this study. As a result, survival rate of this study was 95.6% for the indirect resin composite restorations, 89.4% for the direct resin restorations and 84.4% for CAD/CAM restorations at the end of the 30-month follow-up period of study.

Published
2018

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