2021-02-01T00:00:00Z, Alim-Uysal, Betül Aycan, Dinçer, Asiye Nur, Yurtgezen, Berkan, UYSAL, BETÜL AYCAN, DİNÇER, ASİYE NUR, GÜNEŞER, MEHMET BURAK

Objectives: The management of endodontically treated teeth with apical periodontitis is debated among clinicians. The aim of this study was to evaluate treatment choices for endodontically treated teeth with different sizes of periapical lesions among endodontists, endodontics postgraduate students, general dental practitioners, and undergraduate students who had fulfilled their theoretical and clinical training in endodontics. Materials and methods: Periapical lesion images (no periapical lesion and 1-mm, 3-mm, and 5-mm periapical lesions) were formed on 4 different radiographs with a software program, and the survey included 16 radiographs that were emailed to 1881 participants. Treatment options included extraction, surgical or nonsurgical retreatment, and wait and see. The χ2 test was used to compare the responses of the participants. Results: The survey was returned by 1039 participants (55.23%). There were statistically significant differences among the responses of all participants for all cases (P < .05), except a case with a broken file and no lesion (P = .918). All participants decided to extract at an increased size from a 1-mm periapical lesion to a 5-mm periapical lesion. At all lesion sizes, general dental practitioners planned retreatment less when compared with other groups. Conclusions: This survey study showed that there was a positive correlation between endodontic education level and retreatment decision-making. Dentists who confront seemingly hopeless endodontically treated teeth such as an instrument fracture, a missing canal, or a large periapical lesion should consult with an endodontist before making the decision to extract the tooth.

2023-12-09, Peker F. B., Güneşer M. B., PEKER, FATMA BEGÜM, GÜNEŞER, MEHMET BURAK

Comparison of the effectiveness of single-visit and multi-visit root canal treatment onhealing intra-oral sinus tractFatma Begüm Peker, Mehmet Burak GüneşerDepartment of Endodontics, School of Dentistry, Bezmialem Vakif UniversityObjective: To evaluate postoperative pain and intra-oral sinus tract healing in teeth with chronic apical periodontitistreated in a single visit and to compare the results with multi-visit root canal treatment using an intracanal calciumhydroxide.Materials-Methods: A total of 60 patients in need of non-surgical endodontic treatment participated in this study. Allpatients provided informed consent. The age range of the patients was between 18 and 65 years. The selectedteeth all had a single root and single canal, along with radiographic evidence of apical periodontitis and intra-oralsinus tracts. The patients were randomly divided into two study groups: Group 1(single-visit) and Group 2(multi-visit). Local anesthesia (Ultracaine DSForte;Aventis Pharma,Istanbul,Turkey) was administered and the tooth wasisolated with a rubber dam. Access cavities were created using sterile diamond burs. The working length of eachtooth was determined using an electronic apex locator (Propex Pixi,DentsplySirona,Ballagues,Switzerland) and asize #15 K-type stainless steel file was inserted into the root canal, confirmed radiographically. To shape the rootcanals, nickel–titanium rotary files (VDW GmbH,Munich,Germany) were used in accordance with the manufacturer’sinstructions. Rotary files with a #40 size and variable taper tips of up to 0.04 were used. In the multi-visit group,after the shaping process, calcium hydroxide was placed. All multi-visit treatments were completed one week afterthe initial visit. For all groups, the final irrigation process consisted of the following steps: 5 mL of 2.5% sodiumhypochlorite (Wizard,Ankara,Turkey), 5 mL of 17% ethylenediaminetetraacetic acid (Werax,Izmir,Turkey) and 5 mLof saline. In the single-visit group, after the final irrigation, the root canals were filled with gutta-percha and epoxyresin-based root canal sealers (Ah Plus,DentsplySirona) using the cold lateral compaction method during the samesession. For the multi-visit group, after the removal of calcium hydroxide and following the final irrigation protocol,the root canals were filled during the second appointment. Radiographic checks were performed to ensure properroot canal fillings. Coronal restorations of the teeth were carried out with resin composite material (Z250,3M ESPE).Postoperative pain was scored for the 2 days following the treatment using a visual analogue scale. In the multi-visit group, pain was also assessed at the beginning of the second appointment and patients were asked about thepresence or absence of pain between visits. All patients were scheduled for follow-up appointments and weremonitored until the day of the sinus tracts were healed (Healing means the closing of the sinus tract). Data wereanalyzed using the two sample proportion test and Pearson chi-square tests (α=0.05).Results: There were no significant differences between two groups regarding the incidence of postoperative pain(p>0.05). In the multi-visit group, greater healing was observed on the 3rd and 7th days as compared to the 14thday(p<0.05). However, the day of healing showed a homogeneous distribution in the single-visit group, and therewere no statistically significant differences between the 3rd, 7th, and 14th days(p>0.05).Conclusion: Both groups experienced similar postoperative pain. But it has been observed that a multi-visit protocolprovides earlier healing than a single-visit.Keywords: sinus tract, apical periodontitis, single-visit, multi-visit, postoperative pain

2022-09-09, Nalcı G., Balkancı B., Uysal B. A., Güneşer M. B., Şahin A. N., NALCI, GAMZE, GÜNEŞER, MEHMET BURAK

AMAÇ: Bu çalışmanın amacı diş hekimliği fakültesi öğrencilerinin rubber-dam kullanımına bakış açısını tespit etmek, tercih etme veya etmeme sebeplerini ve COVID-19 pandemisinin etkisini araştırmaktır. GEREÇ VE YÖNTEM: Türkiye’nin çeşitli şehirlerindeki 944 diş hekimliği fakültesi dördüncü ve beşinci sınıf öğrencisine e-posta ve internet aracılığıyla 22 sorudan oluşan anket gönderildi. Çalışmaya yalnızca anketi tamamlayan katılımcılar dahil edildi. Açıklayıcı istatistiklere ek olarak yöntemlerin karşılaştırılmasında ki-kare testi kullanıldı. Sonuçlar anlamlılık düzeyinde değerlendirildi (𝑃 <0.05). BULGULAR: 370’i (%67.9) kadın, 175’i (%32.1) erkek olmak üzere 545 öğrenci anketi tamamladı. Katılımcıların %25.1’i daha önce hiç rubber-dam kullanmamış ve %41.8’i rubber-dam kullanımıyla ilgili tatmin edici bir eğitim almadığını belirtmiştir. Endodontik tedavi yaptığı her hastada rubber-dam kullanan katılımcı oranı ise %34.5’tir. Katılımcıların %87’si rubber-damın kök kanallarına erişimi kolaylaştırdığını, ancak %88,8’i rubber-damın radyograf alma prosedürünü zorlaştırdığını belirtmektedir. Öğrencilerin %69.2’si rubber-damın bulaş riskini azaltabileceğini düşünmüş ve %68.6’sında rubber-dam kullanma isteğinde artış olmuştur. SONUÇ: Öğrencilerin rubber-dam kullanımına karşı güncel bakış açılarını tespit etmek, eğitim içeriğine yön vermede faydalı olabilir. COVID-19 pandemisi gibi diğer tüm bulaşıcı hastalıklarla mücadelede öğrencilerin rubberdam bilgisinin ve yetkinliğinin artırılması önem taşımaktadır.