How does radioisotope penetration method work in endodontics?5 answersThe radioisotope penetration method in endodontics involves using tracer solutions containing radioactive isotopes to assess the extent of penetration of materials within root canals. This technique aids in evaluating the sealing efficiency of endodontic filling materials. Studies have utilized combinations of crystal violet dye with radioactive sodium iodide (1131) to compare the influence of molecular size on penetration paths. Different isotopes have been employed to determine how ionic charge and chemical reactivity affect the degree of marginal penetration. The method allows for a detailed assessment of the sealing quality of materials like AH Plus cement, showing better results with ultrasonic insert use. Overall, the radioisotope penetration method provides valuable insights into the effectiveness of endodontic treatments in preventing recontamination and ensuring successful outcomes.
What kind of endodontic obturation prefer dentist?5 answersDentists prefer gutta-percha root fillings as the ideal obturation material for endodontic treatments, despite the availability of newer techniques like Resilon and materials like mineral trioxide aggregate (MTA). The majority of dental practitioners opt for a combination method of instrumentation, utilizing radiographs and electronic apex locators for working length determination. Additionally, the use of the rotary method of instrumentation is favored by most specialists in endodontics over the combination method in various zones. It is essential for obturations to meet specific standards, such as terminating within 0-2 mm of the radiographic apex and showing no voids, to ensure treatment success. Overall, a comprehensive approach combining traditional materials like gutta-percha with modern techniques seems to be the preferred choice among dentists for successful endodontic obturation.
Classification of endodontic instruments besed on the method of use?5 answersEndodontic instruments can be classified based on the method of use into various categories. Hand instruments like barbed broaches, reamers, K-files, K-flex files, Flexofiles, and Hedstrom files are commonly used for cleaning and shaping root canals. Reciprocating handpieces and rotary NiTi files are electric power-run tools designed to speed up canal preparation and reduce operator fatigue. Additionally, there are reciprocating endodontic hand tools that ensure the torque applied to the instrument does not exceed its elastic limit, reducing the risk of file distortion or breakage during canal shaping. Novel endodontic instruments with radially compressible features and spiraling center of mass paths have also been developed for efficient cleaning and enlargement of root canals. These classifications cater to different aspects of endodontic procedures, enhancing the effectiveness and precision of root canal therapy.
What are the different protocols for final irrigation in endodontics?5 answersDifferent protocols for final irrigation in endodontics include the use of sodium hypochlorite (NaOCl) with or without ethylenediaminetetraacetic acid (EDTA), chlorhexidine (CHX), distilled water, and chitosan nanoparticles (CNPs). Some protocols involve a combination of these irrigants, such as NaOCl followed by EDTA, or NaOCl followed by EDTA and then NaOCl again. Passive ultrasonic irrigation (PUI) is another technique used for final irrigation, which involves the use of ultrasonic energy to agitate the irrigant within the root canal. These different protocols have been shown to have varying effects on dentin surface characteristics, including the removal of the smear layer and exposure of dentinal tubules. They can also influence the push-out bond strength of endodontic sealers to dentin.
What is the objectives of endodontic treatment with citation?5 answersThe objectives of endodontic treatment include prevention and/or elimination of apical periodontitis, preservation of pulp vitality, further root maturation, restoration of the tooth to its proper form and function, and ensuring the stability of results over time to avoid recurrence of the disease and tooth extraction.
Which concentration of NaOCl solution should be used in endodontics?2 answersThe optimal concentration of sodium hypochlorite (NaOCl) solution to be used in endodontics is still a topic of debate. However, the literature suggests that concentrations ranging from 0.5% to 6% are commonly used. Studies have shown that NaOCl at concentrations recommended for regenerative endodontics (1.5% and 5.25%) did not have a significant effect on the mechanical properties of dentin. It has been reported that NaOCl has excellent properties such as high antimicrobial activity and tissue dissolving capabilities, but it also has disadvantages such as the inability to remove the smear layer alone and potential toxic effects on surrounding tissues. Therefore, the choice of NaOCl concentration should be based on the specific clinical situation and the desired outcome of the treatment. Further research is needed to determine the ideal concentration of NaOCl for effective and safe irrigation in endodontics.