2019 Flashcards

1
Q

*Aggarwal - “Efficacy of articaine vs lidocaine as supplementary intraligamentary injection following failed IANB”

A

78% success w/ Lidocaine, 66% success with articaine. No SSD between the two.

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2
Q

***Setzer - “Outcome of crown and root resection”

A

82% success for crown resection, 87% success for root resection.

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3
Q

**Messing - “Potential correlations b/w endo path and CVD using epidemiological and genetic approaches”

A

Significant association w/ CVD. Positive correlation between AP and KCNK3 polymorphism.

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4
Q

***Torabinejad - “A retrospective comparison of outcome in pts who received both NSRCT and single tooth implants”

A

Both txs 95% survival rate with 7.5 year fu. number of appts and cost significantly higher for single tooth implant.

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5
Q

***Watts - “Ibuprofen and acetaminophen vs intranasal ketorolac in an untreated endodontic pain model”

A

Ib/Ac combo and ketorolac had same efficacy. (31.5mg K and 1000mg Ac/600mg Ib)

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6
Q

***Paranjpe - “Contribution of RCT to the fracture resistance of dentin”

A

Decrease in strength of radicular dentin by RCT. RCT teeth had more collagen cross-linking and lower tubule occlusion.

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7
Q

***Capetillo - “Anesthetic efficacy of intranasal 3% tetracaine w/ 0.05% oxymetazoline (kovanaze) in maxillary teeth”

A

Kovanaze significantly less successful in pulpal anesthesia than lidocaine. 100% of subjects preferred traditional injections over kovanaze due to SEs.

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8
Q

Kuhl - “Guided endo vs conventional access”

A

10/24 traditional vs 22/24 guided. 2X longer w/ traditional. 50mm^3 vs 10mm^3 loss of tooth structure.

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9
Q

Mavridou - “Regenerative Endodontic procedures…”

A

Failed regendo may not have huge bacterial overload but still see inflammatory cells.

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10
Q

**Diogenes - “Expression of neurotrophic factors in human dentin and the regulation of trigeminal neurite outgrowth”

A

Neurotrophins in dentin matrix proteins could play a significant role as signaling molecules for the innervation of the pulp-dentin complex during formation, repair, and regeneration. Neurotrophin 4/5 found in highest amounts.

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11
Q

*Patel - “Impact of different imaging techniques on anatomy and stress of residents”

A

3D endo software and CBCT resulted in significantly less stress, better working length determination, and less voids.

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12
Q

**Tawil - “Periapical microsurgery: a 4D analysis of healing patterns”

A

After surgery healing occurred with little to no regression of the buccal cortical plate without the use of grafting materials.

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13
Q

**Von Arx - “A 10 year follow up study of 119 teeth treated with apical surgery and root end filling with MTA”

A

Teeth treated with apical surgery and MTA root end filling had 81.5% healing. Many of the lost teeth were extracted due to longitudinal root fractures.

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14
Q

**Verma - “Effect of different concentration of NaOH on outcome of primary RCT”

A

Greater healing in high concentration (5%) than low concentration (1%) but no SSD.

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15
Q

***Fouad - “Longterm outcomes of endodontic treatment performed with resilon/epiphany”

A

Resilon treated teeth 5.3 times more likely to have a periapical index of 3-4 at follow up compared to GP. Teeth with pre op lesions most likely to have lesion at follow up.

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16
Q

***McDonald (on board) - “Radicular groove accessory canal morphology in mandibular first premolars”

A

Mandibular first premolars with radicular grooves often have radicular groove accessory canals. Association between internal and external anatomy. R6ACM detected. Avg. 8.83+/-2.5mm from CEJ.

17
Q

West Virginia - “Incidence of pulpal complications after dx of vital cracked teeth”

A

30% had pulpal complications. 65% irreversible w/in 1.2 years. 35% necrotic after two years. 8.7X more pulpal complications without crown. 71% of teeth with reversible pulpitis when crowned remained healthy for over 3 years.

18
Q

**Glickman - “Accuracy of 3D surgical endo guides”

A

Avg. deviation for guided 1.7mm, 2.6mm for free hand. 11/24 success free hand, 24/24 success guided.

19
Q

***Siqueira - “Determination of the initial apical canal diameter by the first file to bind or CBCT measurements using micro-CT as the gold standard”

A

CBCT and micro-CT had god accuracy and reliability, first file to bind was inaccurate and unreliable. Mean canal diameter for CBCT was 0.22mm and for first file to bind was 0.15mm.

20
Q

***Fouad - “Resilon: assessment of degraded filling material in non-healed cases”

A

Resilon had significantly greater rate of degradation than GP.

21
Q

**Divine - “Anatomic analysis of palatal roots of maxillary molars using micro-CT”

A

1st molars wider M-D at CEJ. Thinner dentin on palatal aspect of root in middle/coronal 1/3. Minimum 40 master apical size. 76% no apical constriction. 3.5mm root end resection.

22
Q

**Siqueira - “Root canal disinfection by single- and multiple- instrument systems: effects of NaOH volume, concentration, and retention time”

A

Multiple instruments, high volume of irrigation, and long retention time was best.

23
Q

**Nixdorf - “Accuracy and reliability of root crack and fracture detection in teeth using MRI”

A

CBCT and MRI had similar sensitivity (true +) (0.59) and specificity (true -) (0.83 MRI and 0.9 CBCT)

24
Q

Siqueira - “Matching dimensions of current available instruments with the apical diameters of mandibular molar mesial root canals obtained by micro-CT”

A

78% of apical canals not completely by any instrument, ideal instrument size/taper to include all canal walls in apical prep is too large to be safe for clinical use.

25
Q

***Setzer - “Outcome of endodontic microsurgery using MTA or root repair material as root-end filling material”

A

Overall success of 93% on PA vs 85% on CBCT with no difference between MTA or root repair material.

26
Q

***Frick - “Effects of alpha-tocopherol antioxidant on dentin-composite microtensile bond strength after sodium perborate bleaching”

A

Application of 20% alpha-tocopherol not effective in counteracting deleterious effect of bleaching on bond strength, need to wait about 2 weeks before restoring.

27
Q

Ruparel - “Effect of a residual biofilm on release of transforming growth factor B1 from dentin”

A

Sterile root canals released greater amounts of TGF-B1.

28
Q

Von Arx - “Tadiographic assessment of bone healing using CBCT scans 1 and 5 years after apical surgery”

A

New hard tissue formation at the resection plane and within former apical defect in most cases at 5 years, reestablishment of the cortical plate lagged behind. Periapical healing is not complete after 1 year, need longer follow up.

29
Q

Georgiou - “apical periodontitis is associated with elevated concentrations of inflammatory mediators in peripheral blood”

A

Apical periodontitis contributes to low grade systemic inflammation through increased C reactive protein, IL-6, and C3 levels

30
Q

**Von Arx - “Proximity of vascular bone channel in the lateral sinus wall to root apices of maxillary first molars”

A

The vascular bone channel was found closer to the MB root (6.18mm) than DB root and mostly located intrasinusly.

31
Q

Wang - “Over-expression of cyclophillin A in human periapical lesions”

A

Cyclophillin A