Caso Clínico de Cirurgia Paraendodôntica dos Alunos de Especialização em Endodontia da EEC - Guilherme Pianez e Andressa Gimenes

Caso Clínico - Prof. Kenner Bruno Miguita

Clique para ampliar:

Recomendação quanto ao sistema MTwo...

ola tenho grande experiencia na endodontia, so q utilizo atualmente a tecnica manual somente.
Estou programando p/ conhecer o sistema MTWO e gostaria de saber se vale a pena este sistema.
abraço

user: jorodonto

JOE Oct 2010 - Outcome of Endodontic Surgery: A Meta-analysis of the Literature—Part 1: Comparison of Traditional Root-end Surgery and Endodontic Microsurgery

Outcome of Endodontic Surgery: A Meta-analysis of the Literature—Part 1: Comparison of Traditional Root-end Surgery and Endodontic Microsurgery

Frank C. Setzer, DMD, PhD, MS, Sweta B. Shah, BDS, DMD, Meetu R. Kohli, BDS, DMD, Bekir Karabucak, DMD, MS, and Syngcuk Kim, DDS, PhD

Introduction: 

The aim of this study was to investigate the outcome of root-end surgery. The specific outcome of traditional root-end surgery (TRS) versus endodontic microsurgery (EMS) and the probability of success for comparison of the 2 techniques were determined by means of meta-analysis and systematic review of the literature. 

Methods: 

An intensive search of the litera- ture was conducted to identify longitudinal studies eval- uating the outcome of root-end surgery. Three electronic databases (Medline, Embase, and PubMed) were searched to identify human studies from 1966 to October 2009 in 5 different languages (English, French, German, Italian, and Spanish). Relevant articles and review papers were searched for cross-references. Five pertinent journals (Journal of Endodontics, International Endodontic Journal, Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics, Journal of Oral and Maxillofacial Surgery, International Journal of Oral and Maxillofacial Surgery) were individually searched back to 1975. Three independent reviewers (S.S., M.K., and F.S.) assessed the abstracts of all articles that were found according to predefined inclusion and exclusion criteria. Relevant articles were acquired in full-text form, and raw data were extracted indepen- dently by each reviewer. Qualifying papers were as- signed to group TRS or group EMS. Weighted pooled success rates and relative risk assessment between TRS and EMS were calculated. A comparison between the groups was made by using a random effects model. 

Results: 

Ninety-eight articles were identified and ob- tained for final analysis. In total, 21 studies qualified (12 for TRS [n = 925] and 9 for EMS [n = 699]) according to the inclusion and exclusion criteria. Weighted pooled success rates calculated from extracted raw data showed 59% positive outcome for TRS (95% confidence interval, 0.55–0.6308) and 94% for EMS (95% confi- dence interval, 0.8889–0.9816). This difference was statistically significant (P < .0005). The relative risk ratio

showed that the probability of success for EMS was 1.58 times the probability of success for TRS. 

Conclusions:

The use of microsurgical techniques is superior in achieving predictably high success rates for root-end surgery when compared with traditional techniques (J Endod 2010;36:1757–1765)

Key Words

Amalgam, apicoectomy, endodontic microsurgery, IRM, meta-analysis, MTA, outcome, root-end surgery, success, SuperEBA, systematic review

25 de outubro: DIA DO DENTISTA.

Comemora-se o Dia do Dentista em 25 de outubro porque nesta data, em 1884, foi assinado o decreto 9.311 que criou os primeiro cursos de graduação de odontologia do Brasil, no Rio de Janeiro e na Bahia. Uma portaria do Conselho Federal de Odontologia tornou a data oficial para a comemoração do Dia do Dentista Brasileiro. 

O dentista é o profissional que cuida dos dentes, gengivas e de alguns ossos faciais, como o maxilar. Até bem pouco tempo atrás, o dentista era temido pelo barulhinho amedrontador de seus instrumentos. Hoje, com instrumentos mais modernos, tratar de uma cárie já não assusta tanto. O tratamento pode ser feito até mesmo com laser. No entanto, muitas pessoas ainda preferem ficar longe de um consultório odontológico. 

Além de tratar de cáries, o dentista é responsável por realizar a prevenção de doenças da boca e ensinar a correta higiene bucal. Quando especializado em ortodontia, o profissional realiza os procedimentos necessários para corrigir a posição dos dentes por meio do uso de aparelhos ortodônticos e quando necessários, por meio da extração de alguns deles. O dentista é responsável ainda por certos tipos de cirurgias faciais

EEC no 32o JORP (Jornada Odontológica da USP /Ribeirão Preto) - Hands on de Instrumentação Rotatória

No último dia 21 de outubro a EEC- Equipe de Endodontia de Campinas esteve presente na 33a JORP representada pelos professores Carlos E. Silveira Bueno e Carlos E. Fontana à convite de Arthur Zuolo (presidente do evento)

O congresso ocorreu nas dependências da Faculdade de Odontologia da USP-Ribeirão Preto.

 

A atividade constou de uma primeira parte teórica e posteriormente laboratorial.

JOE NOV 2010 - Effect of Working Length Measurement by Electronic Apex Locator or Radiography on the Adequacy of Final Working Length: A Randomized Clinical Trial

Effect of Working Length Measurement by Electronic Apex Locator or Radiography on the Adequacy of Final Working Length: A Randomized Clinical Trial

Shohreh Ravanshad, DDS, MSD, Alireza Adl, DDS, MSD, and Javad Anvar, DDS, MSD

Introduction: 

Obtaining a correct working length is crit- ical to the success of endodontic therapy. The aim of this clinical study was to compare the effect of working length determination using electronic apex locator or working length radiograph on the length adequacy of final working length as well as the final obturation. 

Methods:

 A total of 84 patients with 188 canals were randomized into two groups; in group 1, the working length was determined by working length radiograph, whereas in group 2, it was determined by the Raypex5 electronic apex locator (VDW, Munich, Germany). Length adequacy was assessed in each group for master cone and final obturation radiography and categorized into short, acceptable, and over cases. 

Results: 

There was no statistically significant difference between the rates of acceptable (master cone radiography: group 1 = 82.1% and group 2 = 90.4%; final radiography: group 1 = 85.7% and group 2 = 90.4%) and short cases (master cone radiography: group 1 = 7.1% and group 2 = 8.7%; final radiography: group 1 = 1.2% and group 2 = 1%) between the two groups. Over cases in master cone radi- ography were significantly more in group 1 (10.7%) than group 2 (1%) ( p = 0.00). However, this category did not show a significant difference for final obturation between group 1 (13.1%) and group 2 (8.7%). 

Conclusion: 

The results of endodontic treatment using the Ray- pex5 electronic apex locator are quite comparable, if not superior, to radiographic length measurement regarding the rates of acceptable and short cases. Furthermore, in addition to reducing the radiographic exposure, electronic apex locators are superior in reducing overestimation of the root canal length. 

(J Endod 2010;36:1753–1756)

Caso Clínico da Aluna de Especialização em Endodontia da EEC - Andressa Gimenes

Tratamento Endodôntico do Elemento 15

Instrumentação com Protaper Universal

Obturação com Técnica Híbrida de Tagger / Cimento AH-Plus

Caso Clínico da Aluna de Mestrado Juliana de Cássia Borges

Tratamento Endodôntico do Dente 17

Laboratório de Instrumentação Rotatória - Especialização em Endodontia Vitória/ES

Nesse módulo de outubro do curso de Especialização em Endodontia de Campinas em Vitória-ES da Equipe de Endodontia os alunos tiveram um hands-on sobre intrumentação Rotatória.

Os Prof. Carlos E. Silveira Bueno e Profa. Andressa Pais ministraram a atividade laboratorial.

Caso Clínico de Retratamento Endodôntico - Aluna Juliana Kamachi (Mestrado em Endodontia da EEC)

Retratamento Endodôntico do Elemento 45

Protaper D + Protaper Universal

Técnica Híbrida de Tagger de Termoplastificação + Cimento AHPlus

Aula do Prof. Alexandre Sigrist na Dental Prado - Vagas Limitadas

Clique para ampliar:

Artigos Publicados pela EEC

A Equipe de Endodontia de Campinas, representada pelos professores Rodrigo Sanches Cunha e Carlos E. Silveira  Bueno, marcou presença com a publicação de mais dois artigos em associação a outros Professores da PUC-Campinas nesse 2o semestre.

Para baixar esse artigo na íntegra:

http://www.sendspace.com/file/oyfe6q

Para baixar esse artigo na íntegra:

http://www.sendspace.com/file/t5ltvq

Aula de Farmacologia Aplicada com o Prof. Gilson Nobre Franco (UNITAU)

Aula na Especialização da Equipe de Endodontia de Campinas com o Prof. Gilson Nobre Franco (UNITAU) sobre Farmacologia aplicada à Endodontia

Aula com o Prof. Alexandre Cunha no Mestrado em Endodontia - Teoria do Conhecimento

Aula no Mestrado em Endodontia da Equipe de Endodontia de Campinas com o Prof. Alexandre Cunha sobre: "Teoria do Conhecimento"

Hands-on de Instrumentação Rotatória no Mestrado da Equipe de Endodontia de Campinas

Alunos do Mestrado da Equipe de Endodontia de Campinas - turma 2010 participaram de hands-on sobre instrumentação rotatória com os Prof. Carlos E.  Bueno e Profa. Roberta A. Araújo.

O aproveitamento foi ótimo!

PIZZA DO MESTRADO 2010

Nessa última sexta feira , dia 08/10, a turma de mestrado 2010 da Equipe de Endodontia de Campinas marcou o módulo com uma bela pizzada!

32o JORP - Jornada Odontológica da USP- Ribeirão Preto

Presença do Prof. Carlos E. Silveira Bueno no 32o JORP representando 

a Equipe de Endodontia de Campinas.

2o Meeting de Endodontia do Sul da Bahia

CLIQUE PARA AMPLIAR

Caso Clínico de Retratamento Endodôntico Elemento 37 - Prof. Carlos Fontana

Clique para ampliar

Novo Acessso Cirúrgico e Melhoria da Forma de Contorno/Conveniência 

(Inserto de ultrassom TRA-24)

Desobturação com Protaper D

Negociação dos Canais atrésicos na porção apical com limas C-Pilot

Reinstrumentação com Protaper (F3) + ampliação manual

Patência dos Canais

Obturação com Onda Contínua / Cimento AH-Plus

Selamento com Cimpat + Resina Composta

Tratamento Realizado em 2 Sessões (MIC de Ca(OH)2 entre sessões)

JOE Out 2010 - The Effect of Cervical Preflaring Using Different Rotary Nickel-Titanium Systems on the Accuracy of Apical File Size Determination

The Effect of Cervical Preflaring Using Different Rotary Nickel-Titanium Systems on the Accuracy of Apical File Size Determination

Christian Tennert, DDS,* Josef Herbert, DDS, MS, PhD,† Markus Jo ̈rg Altenburger, DDS,* and Karl-Thomas Wrbas, DDS, Priv. Doz.*

Introduction: An exact determination of the apical root canal diameter is crucial for correct cleaning and shaping of a root canal. The aim of this study was to investigate the discrepancies of the initial apical root canal diameter and the diameter that is measured by the initial apical file (IAF) after cervical flaring using current rotary nickel-titanium systems. 

Methods: Mesiobuccal canals of 40 extracted mandibular molars were randomly as- signed to four groups. In the first group, root canals were not flared. Root canals of the other groups were preflared using FlexMaster (VDW, Munich, Germany), ProTaper (Dentsply, Konstanz, Germany), or RaCe (FKG Dentaire, Genf, Switzerland) instruments. The tooth length was determined by inserting an ISO 06 K- file to the apical foramen. The working length (WL) was set 1 mm short of the apical foramen. File sizes were increased after binding sensation was felt at the WL. Transversal sections of the WL regions were exam- ined under stereomicroscope, and the diameter of the root canal and the IAF at WL were assessed. 

Results: Canals preflared with RaCe instruments had the lowest discrepancy between the apical root canal diameter and the IAF diameter (15.7 􏰀 9.7 mm) followed by ProTaper (22.2 􏰀 11.0 mm) and FlexMaster (35.0 􏰀 17.2 mm). 

Conclusions: Preflaring of root canals prevents under- estimation of the actual apical root canal diameter. The type of instruments used for preflaring show differences on the accuracy of IAF determination. Preflaring with larger tapered instruments leads to a more accurate apical sizing, and this information is crucial concerning the appropriate final diameter for complete apical shaping. 

(J Endod 2010;36:1669–1672)