Journal of endodontics
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Journal of endodontics · May 2019
Randomized Controlled TrialEvaluation of Blood Clot, Platelet-rich Plasma, Platelet-rich Fibrin, and Platelet Pellet as Scaffolds in Regenerative Endodontic Treatment: A Prospective Randomized Trial.
Regenerative endodontic procedures (REPs) using autologous platelet concentrates as scaffolds can improve the biologic outcome of treatment. This prospective, randomized trial compared the clinical and radiographic performance of REPs using platelet-rich plasma (PRP), platelet-rich fibrin (PRF), a platelet pellet (PP), and an induced blot clot (BC). ⋯ PRP, PRF, and PP can yield similar clinical and radiographic outcomes to BC without the need for prior apical bleeding and with significantly less tendency for root canal obliteration. RRA and RCA may reveal minor differences that cannot be determined by linear measurements.
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Journal of endodontics · Nov 2018
ReviewTop-cited Articles in Regenerative Endodontics: A Bibliometric Analysis.
Bibliometric analysis is a method for quantifying the research productivity, author performance, and manuscript impact. The citation count received by a scientific article is one of the indicators of its impact within a field. The purpose of this study was to identify the 100 top-cited articles published in regenerative endodontics and to analyze their main characteristics. ⋯ This bibliometric analysis reveals the progress and trend of research in the field of regenerative endodontics. The in vitro articles published in the field of regenerative endodontics had the highest number of citations and average citation rates.
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Journal of endodontics · Nov 2018
Randomized Controlled TrialOutcomes of Vital Pulp Therapy Using Mineral Trioxide Aggregate or Biodentine: A Prospective Randomized Clinical Trial.
Mineral trioxide aggregate (MTA) has been used in pulp capping of cariously exposed mature permanent teeth with promising results. The search for alternative materials that seal better and set faster than MTA and do not stain is ongoing. Biodentine (Septodont, St Maur-des-Fossés, France) exhibits these advantages but has not been tested yet for a prolonged duration in mature teeth. This study aimed to evaluate the clinical performance of Biodentine and white MTA (Angelus, Londrina, Brazil) in cariously exposed mature permanent teeth. ⋯ Biodentine and MTA have favorable and comparable success rates when used as direct pulp capping or pulpotomy material in permanent mature teeth with carious exposure. The remaining tooth structure and durability of coronal restoration might affect significantly the long-term success of vital pulp therapy.
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Journal of endodontics · Oct 2018
Randomized Controlled TrialSuccess Rate of 3 Injection Methods with Articaine for Mandibular First Molars with Symptomatic Irreversible Pulpitis: A CONSORT Randomized Double-blind Clinical Trial.
Previous studies have reported that it is difficult to obtain proper anesthesia in mandibular molars with symptomatic irreversible pulpitis, and supplemental injections are usually unavoidable. The aim of the present study was to determine the anesthetic efficacy of articaine in mandibular first molars with symptomatic irreversible pulpitis with 3 injection methods: an inferior alveolar nerve block (IANB), an IANB with an intraligamentary injection, and an IANB with buccal infiltration before initiating the endodontic treatment. ⋯ Considering the limitations of the present study, in can be concluded that the success rate of IANBs increased with intraligamentary injections and buccal infiltrations with articaine that were performed before initiating treatment. Also, none of the injection methods showed complete success in anesthesia in all patients.
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Journal of endodontics · Sep 2018
Review Case ReportsAmaurosis, an Unusual Complication Secondary to Inferior Alveolar Nerve Anesthesia: A Case Report and Literature Review.
Ocular complications after an inferior alveolar nerve anesthesia are rare. These complications, although temporary and benign, can be distressing to both the patient and the clinician. A 37-year-old male patient was administered an inferior alveolar nerve block for the root canal treatment of tooth #30. ⋯ In particular, amaurosis is quite uncommon and usually heralds a more sinister pathology such as stroke. This case report presents an unusual case of ocular complication after an inferior alveolar nerve block. Adequate knowledge of the regional anatomy and physiology of the orbit and its nearby structures, the proposed causes of ocular complications, and prevention and management is necessary to manage such events.