0000000000012384
AUTHOR
Leopoldo Forner-navarro
Premolars restored with posts of different materials: fatigue analysis
Previous works studied the effect of the material and the dimensions of the post on the biomechanical performance (fracture strength and stress distribution) of restored teeth, under static loads. The aim of this work was to study the effect of the post material (glass fibre and stainless steel) on restored teeth, which have the final crown, under dynamic conditions. The use of a biomechanical model, including a fatigue analysis from FEA, is presented as a powerful method to study the effect of the material of the intraradicular post. The inclusion of the fatigue analysis allows for a more realistic study that takes into account the dynamic nature of masticatory forces. At the same time, th…
Vertical root fracture in endodontically treated teeth: A review of 25 cases
Abstract Objective: We sought to examine the clinical conditions under which 25 endodontically treated teeth underwent vertical root fracture (VRF) and to relate this condition to the time elapsed from endodontic treatment to fracture. Study Design: This was a retrospective study in which we reviewed 25 case histories of patients with postendodontic VRF and studied the effect of various pretreatment and posttreatment factors as they related to VRF. Results And Conclusions: The mean time to VRF was 54 months; this was not significantly influenced by the presence or absence of prior restoration or by the presence or absence of a crown fitting. The use of a prefabricated, cylindrical, cemented…
Use of antibiotics by spanish dentists receiving postgraduate training in endodontics
Background The incidence of endodontic infections is high. The contribution of Endodontics to the global problem of antibiotic resistance could be significant. The ESE, together with the World Health Organization, are promoting the World Antibiotic Awareness Week (13-19 November 2017) to promote the appropriate use of systemic antibiotics in Endodontics. The objective of this study was to determine the prescription pattern of antibiotics in the treatment of endodontic infections of Spanish dentists attending specialization programs in Endodontics. Material and Methods Dentists from five Spanish endodontic postgraduate programs were requested to answer a one-page questionnaire surveying abou…
Influence of material and diameter of pre-fabricated posts on maxillary central incisors restored with crown.
Summary Numerous research works have studied the effect of post-design parameters on the mechanical behaviour of restored teeth without reaching any clear conclusions. Previous works by the authors ascertained the effect of material and post-dimensions for non-crowned restored teeth. The aim of this work was to study the effect of post-material and diameter for crowned teeth. First, an experimental fracture strength test was performed on eighteen extracted human maxillary central incisors. Teeth were decoronated, treated endodontically and restored (nine with glass fibre posts and nine with stainless steel posts). Several post-diameters were used. The final crown restoration was carried ou…
Differential expression of Cyclin D1 in keratin-producing odontogenic cysts
Objetives: The aim of the present study was to analyze the expression levels of Cyclin D1 (CCD1), a nuclear protein that plays a crucial role in cell cycle progression, in a series of keratin-producing odontogenic cysts. Study Design: A total of 58 keratin-producing odontogenic cysts, diagnosed over ten years and classified according to the WHO 2005 criteria, were immunohistochemically analyzed in terms of CCD1 expression, which was quantified in the basal, suprabasal and intermediate/superficial epithelial compartments. The extent of immunostaining was measured as a proportion of total epithelial thickness. Quantified immunohistochemical data were correlated with clinicopathological featur…
Immunohistochemical expression of glucose transporter 1 in keratin-producing odontogenic cysts
Background: Keratin-producing odontogenic cysts (KPOCs) are a group of cystic lesions that are often aggressive, with high rates of recurrence and multifocality. KPOCs included orthokeratinised odontogenic cyst (OOC) and parakeratotic odontogenic cysts, which are now considered true tumours denominated keratocystic odontogenic tumours (KCOTs). GLUT1 is a protein transporter that is involved in the active uptake of glucose across cell membranes and that is overexpressed in tumours in close correlation with the proliferation rate and positron emission tomography (PET) imaging results. Methods: A series of 58 keratin-producing odontogenic cysts was evaluated histologically and immunohistochemi…
Influence of prefabricated post material on restored teeth: fracture strength and stress distribution.
This work studied how prefabricated intraradicular post material affects the mechanical performance of restored teeth. The effect of using two different materials (glass fiber and stainless steel) with significantly different elastic moduli was studied.A combined theoretical and experimental method was used: first, an experimental fracture strength test was performed on 60 extracted human maxillary central incisors. The teeth were decoronated, treated endodontically and restored, 30 with glass fiber posts and 30 with stainless steel posts. The data were recorded and the results compared using an ANOVA test. Then, the finite element technique was used to develop a model of the restored tooth…
Influence of prefabricated post dimensions on restored maxillary central incisors
summary The aim of this study was to test the following hypothesis: biomechanical performance (fracture strength and stress distribution) of restored teeth is less sensitive to post diameter and post length when using glass fibre posts than when using stainless steel posts. First, an experimental fracture strength test was performed on 80 extracted human maxillary central incisors. Teeth were decoronated, treated endodontically and restored (40 with glass fibre posts and 40 with stainless steel posts), and the length and diameter of the posts varied uniformly. Failure loads were recorded and results were compared using an ancova analysis. Secondly, the finite element technique was used to …
Determinación de ácido láctico en el dorso de la lengua: Su relación con la presencia de caries activa
Resumen: Fundamento: el diagnostico de susceptibilidad a la caries es un reto que actualmente tienen que abordar los procedimientos diagnosticos. La presencia de acidos en el medio oral produce una reduccion del pH, siendo el acido lactico el maximo responsable de esta situacion. La posibilidad de detectar sus niveles en la boca puede plantearse como una medida diagnostico adecuada para estimar el riesgo individual frente a la caries. Objetivo y Metodologia: este estudio evalua, de forma preliminar, un test recientemente introducido en el mercado por la casa 3M (Clinpro Cario L-Pop) que permite medir mediante una escala ordinal la presencia de acido lactico en la superficie lingual. Para el…
NCAM (CD56) Expression in keratin-producing odontogenic cysts: aberrant expression in KCOT
Background: Keratin-producing odontogenic cysts (KPOCs) are a group of cystic lesions that are often aggressive, with high rates of recurrence and multifocality. KPOCs included orthokeratinised odontogenic cyst (OOC) and parakeratotic odontogenic cysts, which are now considered true tumours denominated keratocystic odontogenic tumours (KCOTs). GLUT1 is a protein transporter that is involved in the active uptake of glucose across cell membranes and that is overexpressed in tumours in close correlation with the proliferation rate and positron emission tomography (PET) imaging results. Methods: A series of 58 keratin-producing odontogenic cysts was evaluated histologically and immunohistochemi…
Experimental strength of restorations with fibre posts at different stages, with and without using a simulated ligament
The aim of this study was to analyse the strength and failure mode of teeth restored with fibre posts under retention and flexural-compressive loads at different stages of the restoration and to analyse whether including a simulated ligament in the experimental setup has any effect on the strength or the failure mode. Thirty human maxillary central incisors were distributed in three different groups to be restored with simulation of different restoration stages (1: only post, 2: post and core, 3: post-core and crown), using Rebilda fibre posts. The specimens were inserted in resin blocks and loaded by means of a universal testing machine until failure under tension (stage 1) and 50o flexion…
Analysis of radiologic factors in determining premolar root canal systems
Abstract Objectives. Certain tooth groups pose problems as to radiologic determination of root canal morphology. For example, the premolars may have superimposed roots that give the appearance of a single canal when 2 are actually present. This study examined the effect of X-ray tube inclination so as to visualize the complete root canal system in premolars. Study Design. One hundred extracted premolars were divided into 4 groups of 25 teeth each: 1MxP (first maxillary premolar), 2MxP (second maxillary premolar), 1MdP (first mandibular premolar), and 2MdP (second mandibular premolar). A total of 10 radiographs were made of each tooth in the horizontal and vertical planes (horizontal angles …
Orthokeratinized odontogenic cysts: a Spanish tertiary care centre study based on HPV DNA detection
Abstract Background The role of human papillomavirus (HPV) in orthokeratinized odontogenic cysts (OOCs) has rarely been studied. The objective is to describe the clinicopathological findings in a series of OOCs from a Spanish population that were investigated in relation to the possible presence of HPV. Methods A clinicopathological retrospective analysis followed by a molecular analysis of 28 high- and low-risk HPV genotypes was performed in OOC samples of patients seen during the last 15-years in a Spanish tertiary care center. Results Of 115 odontogenic cysts with keratinization, 16 cases of OOCs were confirmed and evaluated. OOCs occurred predominantly in the mandible of males (mean age…
Microscopic assessment of the sealing ability of three endodontic filling techniques
Background: Several techniques have been proposed for root canal filling. New rotary files, with non-standardized taper, are appearing, so, points adapted to the taper of the last instrument used to prepare the canal can help in the obturation process. The aim of this study is to assess the sealing ability of different root canal filling techniques. Material and Methods: Root canals from 30 teeth were shaped with Mtwo and divided in three groups; A, standard lateral condensation with size 35 and 20 gutta-percha points; B, standard lateral condensation and injected gutta-percha; C, single gutta-percha point (standardized 35 Mtwo), continuous wave technique and injected gutta- percha. Root su…
Reproducibilidad en la medición del color «in vitro» e «in vivo» mediante colorímetros específicos para uso dental
Introduccion: La medicion del color dental de la forma mas objetiva y reproducible posible, es uno de los problemas en Odontologia. La reciente aparicion de colorimetros especialmente concebidos para la toma del color dental pueden ser de ayuda para este fin. Objetivo: Evaluar la fiabilidad en la reproducion de las mediciones del color de tres colorimetros, disenados para la toma del color dental. Material y metodo: Se midio el color tres veces sucesivas a cada uno los doce dientes anteriores de diez pacientes y se tomo cinco veces el color de cada uno de los dieciseis dientes de tres guias Vitapan Classical. Resultados: La reproducibilidad para la medicion de las guias vario entre 72, 25 y…