SOLA-PARAGUAI - 12, 13 e 14 de maio em Assunção-Paraguai

Clique para ampliar

SOLA(Seminários Odontológicos Latinoamericano) no Paraguai

Presença de Andressa Pais e Eduardo Marques como ministradores à convite de Patricia Escobar.

EEC em ITABUNA-BA

Novos Conceitos e a Nova Tecnologia Endodôntica Aplicada nosÚltimos Dez Anos.

Prof. Carlos E. Silveira Bueno

Prof. Alexandre Sigrist de Martin

ABO Itabuna-BA

Funorte

CLIQUE PARA AMPLIAR: 

JOE APRIL 2011 - Removal of Broken Files from Root Canals by Using Ultrasonic Techniques Combined with Dental Microscope: A Retrospective Analysis of Treatment Outcome

Removal of Broken Files from Root Canals by Using Ultrasonic Techniques Combined with Dental Microscope: A Retrospective Analysis of Treatment Outcome.
Mei Fu, DDS,* Zhiling Zhang, DDS,† and Benxiang Hou, DDS, PhD*


Introduction:
The objective of this study was to assess the clinical outcome after removal of a broken file from root canal by using ultrasonic techniques and to eval- uate various factors that might influence the outcome.


Methods:
One hundred two patients with 102 teeth with a broken file in the root canal, treated between 2004 and 2008, were contacted for follow-up examina- tion 12–68 months after treatment (median, 28 months). Outcome was assessed on the basis of clinical and radiographic criteria by calibrated examiners and dichotomized as healed or disease. The result was analyzed statistically by Pearson or Fisher exact test and multivariate logistic regression.


Results:
Of 66 teeth examined (64.7% recall), 81.8% were healed. Stepwise logistic regression analysis revealed that inadequate root canal filling was a statistically signifi- cant factor in predicting failure of successful healing. The cases with removal of broken files had a higher healing rate than those with broken files left in the root canal, but the difference was not statistically significant (P > .05). There was no significant differ- ence in outcome related to presence or absence of perforation, although the rate of healing was greater in teeth without perforation. Other factors including age, sex, tooth type, apical status, position of segment, and type of restoration did not affect prognosis.


Conclusions:
Treatment outcome after the use of ultrasonics for removal of broken files was favorable. Adequate root filling has a more substantial impact on treatment outcome than the other factors. (J Endod 2011;37:619–622)


Key Words
Broken file, non-surgical canal treatment, prognosis, retrospective study, ultrasound


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A Equipe de Endodontia de Campinas deseja a todos uma FELIZ PÁSCOA!

JOE APRIL 2011 - Endodontic Management of a Maxillary First Molar with Eight Root Canal Systems Evaluated Using Cone-beam Computed Tomography Scanning: A Case Report

Endodontic Management of a Maxillary First Molar with Eight Root Canal Systems Evaluated Using Cone-beam Computed Tomography Scanning: A Case Report

Jojo Kottoor, MDS, Natanasabapathy Velmurugan, MDS, and Smitha Surendran, MDS

Introduction: 

Root canal treatment of maxillary molars presenting with complex root canal configurations can be diagnostically and technically challenging. 

Methods: Nonsurgical endodontic therapy of a left maxillary first molar with three roots and eight root canals was successfully performed. This unusual morphology was diagnosed using a dental operating microscope (DOM) and confirmed with the help of cone-beam computed tomography (CBCT) images. 

Results: CBCT axial images showed that both the mesiobuccal and distobuccal root contained a Sert and Bayirli type XV canal, whereas the palatal root showed a Vertucci type II canal configura- tion. 

Conclusions: The use of a DOM and CBCT imaging in endodontically challenging cases can facilitate a better understanding of the complex root canal anatomy, which ultimately enables the clinician to explore the root canal system and clean, shape, and obturate it more efficiently. 

(J Endod 2011;37:715–719)

Key Words

Cone-beam computed tomography scanning, maxillary first molar, root canal anatomy, root canals

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Congresso da Sociedade Brasileira de Endodontia - 03 a 05 de novembro 2011

http://sbendo.com.br/congressos/3congresso/3cong.htm

	Quality Resort e Convention Center

** Inscrições em Breve **

Grade Científica

John West , DDS, MSD Fundador e diretor do Centro de Endodontia em Tacoma-Seatle, Prof. associado da Universidade de Washington , Instrutor clínico da Universidade de Boston, e assina co-autoria de vários livros como o "Endodontia" de John Ingle, e o "Caminhos da polpa" de Cohen & Burns...

Erick Souza (Uniceuma),

José Roberto Vanni (FOM Passo Fundo),

Mário Zuolo (Uninove)

Rodrigo Sanches Cunha (PUCCamp e SLMandic),

Ruy Hizatugu (APCD Central)

Manoel Eduardo de Lima Machado (FOUSP)

Mário Roberto Leonardo (UNESP Araraquara)

Gustavo de Deus (UFF)

Giulio Gavini (FOUSP e UniSanta)

Henrique Bassi (CEFOS Uningá)

Presidente do 3o. Congresso Internacional: Carlos Eduardo da Silveira BuenoSecretário Geral do 3o. Congresso Internacional: Felipe Davini

Presidente da Sociedade Brasileira de Endodontia: Manoel Eduardo de Lima MachadoSecretário Geral da Sociedade Brasileira de Endodontia: Cleber K. Nabeshima

Lazer

Para o lazer, o Resort/Centro de convenções fica ao lodo do Park de diversões Hopi Hari e do parque aquático Wet’n Wild...

... e em frente do Outlet Premium – o maior centro de compras do estado de São Paulo com lojas outlet de marcas de grande nome como Diesel, Lacoste, VR, Vitor Hugo, Tommy Hilfiger, entre outras...

Caso Clínico da Aluna de Especialização em Endodontia - Liliam Paukowski de Sousa

Incisivo Central Superior com 2 Raízes

JOE MAY 2011 - Anesthetic Efficacy of 1.8 mL versus 3.6 mL of 4% Articaine with 1:100,000 Epinephrine as a Primary Buccal Infiltration of the Mandibular First Molar

Anesthetic Efficacy of 1.8 mL versus 3.6 mL of 4% Articaine with 1:100,000 Epinephrine as a Primary Buccal Infiltration of the Mandibular First Molar.

Matthew Martin, MS, DDS,* John Nusstein, MS, DDS,† Melissa Drum, MS, DDS,† Al Reader, MS, DDS,† and Mike Beck, MA, DDS‡

Introduction: 

No study has compared 1.8 mL and 3.6 mL 4% articaine with 1:100,000 epinephrine in a mandibular buccal infiltration of the first molar. The authors conducted a prospective, randomized, single- blind, crossover study comparing the degree of pulpal anesthesia obtained with 1.8 mL and 3.6 mL 4% articaine with 1:100,000 epinephrine as a primary infil- tration in the mandibular first molar. 

Methods: 

Eighty- six asymptomatic adult subjects randomly received a primary mandibular buccal first molar infiltration of 1.8 mL or 3.6 mL 4% articaine with 1:100,000 epineph- rine in two separate appointments. The authors used an electric pulp tester to test the first molar for anesthesia in 3-minute cycles for 90 minutes after the injections. Results: Compared with the 1.8-mL volume of 4% arti- caine with 1:100,000 epinephrine, the 3.6-mL volume showed a statistically higher success rate (70% vs 50%). 

Conclusions: 

The anesthetic efficacy of 3.6 mL 4% articaine with 1:100,000 epinephrine is better than 1.8 mL of the same anesthetic solution in a primary mandibular buccal infiltration of the first molar. However, the success rate of 70% is not high enough to support its use as a primary injection technique in the mandibular first molar. 

(J Endod 2011;37:588–592)

Key Words

Articaine, infiltration, mandibular

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Int Endod J April 2011 - Effect of root canal sealers on bond strength of fibreglass posts cemented with self-adhesive resin cements

Effect of root canal sealers on bond strength of fibreglass posts cemented with self-adhesive resin cements.

D. Cecchin, A. P. Farina, M. A. Souza, B. Carlini-Ju ́ nior & C. C. R. Ferraz

Aim 

This study evaluated the effects of different root canal sealers on the bond strength of a fibreglass post cemented with self-adhesive resin cements. 

Methodology 

The root canals of 50 extracted max- illary single-rooted canine teeth were prepared with the crown-down technique and randomly divided into five groups according to the sealer used: group 1: control group, gutta-percha points only (no sealer); group 2: AH Plus (resin-based sealer); group 3: self-etch Epip- hany (resin-based sealer); group 4: Sealer 26 (calcium hydroxide-based sealer); and group 5: Endomethasone (zinc oxide eugenol-based sealer). The root canals were filled with gutta-percha, the cold lateral compaction technique, except for group 3 where Resilon was used. Post spaces were prepared, and fibreglass posts were cemented with the self-adhesive cement RelyX Unicem. Bonded specimens were sectioned into 1-mm-thick slabs, and a push-out test was performed in a universal machine. Failure modes were observed and classified into five types: (i) adhesive between the post and resin cement; (ii) mixed, with resin cement covering 0–50% of the post diameter; (iii) mixed, with resin cement covering 50–100% of the post surface; (iv) adhesive between resin cement and root canal; and (v) cohesive in dentine. Data of bond strength were submitted to anova and Tukey test (a = 0.05).

Results 

No significant difference was detected between control group, AH Plus, Epiphany and Sealer 26 (P > 0.05). The Endomethasone group had signif- icantly lower bond strength values than the other sealers (P < 0.05). The prevalence of mixed fractures and adhesive cement-dentine failure was verified in the eugenol-containing sealer group; in the control group, the resin-based and calcium hydroxide-based sealer groups, the predominant mode of failure was the mixed type.

Conclusion 

Endomethasone interfered negatively with the bond to root dentine; however, AH Plus, Epiphany and Sealer 26 did not interfere in the bond strength of a fibreglass post cemented with self-adhesive resin cements.

Keywords: bond strength, fibreglass post, push-out, root canal sealers, self-adhesive.

International Endodontic Journal, 44, 314–320, 2011.

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J Endod April 2011 - Pain Prevalence and Severity before, during, and after Root Canal Treatment: A Systematic Review

Pain Prevalence and Severity before, during, and after Root Canal Treatment: A Systematic Review

Jaclyn G. Pak, BS, and Shane N. White, BDentSc, MA, MS, PhD

Introduction: 

Anticipation and experience of root canal associated pain is a major source of fear for patients and a very important concern of dentists. Pretreatment, treatment, and posttreatment pain is anticipated, expe- rienced, remembered, and shared by patients. The purpose was to determine the influence of root canal treatment on pain prevalence and severity and estimate the prevalence and severity of pretreatment, treatment, and posttreatment pain in patients receiving root canal treatment. 

Methods: 

Defined searching of MEDLINE, Embase, Cochrane, and PsycINFO databases identified 5,517 articles. Systematic review, including title scan- ning, abstract scanning, full-text review, and quality rating, provided 72 studies for meta-analysis. L’Abbe plots were used to evaluate the influence of root canal treatment on pain prevalence and severity. Pretreat- ment, treatment, and posttreatment pain prevalence and severity data were analyzed. 

Results: 

L’Abbe plots revealed that pain prevalence and severity decreased substantially after treatment. Mean pretreatment, 24- hour posttreatment, and 1-week posttreatment pain prevalences with associated standard deviations were 81 (28%), 40 (24%), and 11 (14%), respectively. Pretreatment, 24-hour posttreatment, and 1-week post- treatment pain severities, on a 100-point scale, were 54 (24%), 24 (12%), and 5 (5%), respectively. Supple- mental injections were frequently required (60 [24%]). 

Conclusions: 

Pretreatment root canal–associated pain prevalence was high but dropped moderately within 1 day and substantially to minimal levels in 7 days. Pretreatment root canal–associated pain severity was moderate, dropped substantially within 1 day of treat- ment, and continued to drop to minimal levels in 7 days. Supplemental anesthesia was often required. 

(J Endod 2011;37:429–438)

Key Words

Endodontic, L’Abbe plot, meta-analysis, pain, preva- lence, root canal, severity

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Casos clínicos do Ex-Aluno André Luiz Monteiro

Boa tarde a todos da EEC

Gostaria de participar com todos estes dois tratamentos que só foi possível realizá-los depois que fiz especialização e o curso avançado com vocês, realmente uma referência em endodontia.
Nestes dois casos usei Root ZX, Limas Pro Taper, hipoclorito 2,5 % com EDTA na irrigação final e obturação com técnica Híbrida de Tagger e cimento AG - Plus.

Parabéns pela qualidade dos cursos e obrigado.

André Luiz Monteiro
andrelfmonteiro@gmail.com
www.clinicaodontoquality.com.br
www.clinicaodontoquality.com.br/blog/

Dúvida de documentação em endodontia

Boa noite!
Gostaria de saber o que vcs recomendariam quanto ao microscópio e sistema de documentação.
Existe alguma marca mais custoXbenefício?
Em relação à documentação que máquina fotográfica devo comprar?

Obrigado
Bruno L. Mazzeno

Caso Clínico do Aluno de Especialização em Endodontia - Walber Peron

Prof. Carlos E. Silveira Bueno (EEC) este presente na USP para a Defesa de Dissertação de Mestrado da aluna Luciana Magrin Blank Gonçalves

Mestre: Luciana Magrin Blank Gonçalves

"Análise da remoção do magma dentinário empregando-se uma técnica sônica ou ultrassônica."

FOUSP-SP

Orientador: Manoel Eduardo de Lima Machado
Professor Associado da Disciplina de Endodontia da FOUSP
Professor Coordenador do Curso de Especialização em Endodontia pela Academia Brasileira de Medicina Militar e HGeSP
Professor Coordenador do Curso Noturno de Graduação da FOUSP
Professor dos cursos de Mestrado e Doutorado da FOUSP
Professor Convidado da University of Harvard School of Dental Medicine
Autor do livro "Endodontia da Biologia a Técnica" e "Endodoncia de la biologia a la técnica"

1o. membro: Giulio Gavini- Prof. titular da FO-USP-SP
Professor Titular da Endodontia da FO USP-SP

2o. membro: Carlos Eduardo da Silveira Bueno

Caso Clínico Prof. Felipe Davini - Molar Superior / Root canal treatment of Maxillary First Molar in Single Session

Clique para Ampliar

Observar Presença do 4o Canal

MB2 in Maxillary First Molar

Dúvida em Caso Clínico com Fístula Persistente

Bom dia!
Gostaria de uma opinião sobre este caso que eu estou tratando no consultório...

Paciente apresentava dente com lesão periapical no dente 12, o qual comecei a fazer o tratamento.
Radiograficamente foi detectado uma reabsorção externa no terco apical, sentido da Distal.

Abaixo os procedimentos já realizados:
 

• 1a sessão - 19/07/2010 - abertura, limpeza do dente, Curativo Ca(OH)2+propileno - dente apresentava fistula vestibular, lima #40 forame (RX 1 )
• 2a sessão - 18/11/2010 - Limpeza com irriagação abundante com NaOCl 2,5% + edta (aprox 40 min) - Calen PMCC
• 3a sessão - 15/12/2010 - Limpeza + Calen Só de CaOH

                - 27/12/2010 - Pct ligou no consult e Relatou re-surgimento da fistula ( pct em viagem)

• 4a sessão - 12/01/2011 - Limpeza + Calen PMCC
• 5a sessão - 02/4/2011 - limpeza (irrigacao NaOCl + edta) curativo com Ca(OH)2 + Iodoformio (sem fistula)  (RX 3 e 4)

Entre as sessões, em aproximadamente 10 a 15 após cada sessão de atendimento, paciente relatava que aparecia novamente a fístula Vestibular, e que com alguns dias ela desaparecia e não retornava..

Gostaria de saber o que voces recomendariam:

- obturação direto?
- Mais trocas de (CaOH)2 manipulado na hora? afim de deixar o máximo de alcalinidade possível...
     se for, até quando?
- Parendodontica com apicectomia para retirada desta região da reabsorção externa,
  e retro-obturação apical com mta?

Grande Abraço,
desde já agradeço

Gabriel Galvão 
(Aluno do Curso de Mestrado em Endodontia da Equipe de Endodontia de Campinas)

Qualificação da Dissertação de Mestrado da Aluna Laís Bittencourt Pires

Nome: Laís Bittencourt Pires

Tema: Influência de diferentes métodos de ampilação cervical na determinação do primeiro instrumento e no estabelecimento do comprimento de trabalho por meio de um localizador eletrônico foraminal.

Banca:

Orientador: Carlos Eduardo da Sivleira Bueno

1o. membro: Alexandre Sigrist de Martin - membro interno

2o. membro: Sílvio José Albergaria da Silva- membro externo- Prof. Titular da Universidade Federal da Bahia

Prof. Sílvio José Albergaria da Silva em Campinas

Na última semana o Prof. Sílvio José Albergaria da Silva esteve presente na São Leopoldo Mandic de Campinas para uma banca de dissertação de mestrado.

O docente é Prof. Titular da Universidade Federal da Bahia, Mestre em endodontia pela Universidade de Pelotas

e Livre Docente em endodontia pela Gama Filho .

Caso Clínico Prof. Carlos E. Fontana - Pré-molar Superior / Root canal treatment of maxillary first premolar in Single Session

Clique para ampliar

Instrumentação Protaper

Obturação: Híbrida de Tagger / Cimento Ah-Plus

Aula do Prof. Carlos E. Silveira Bueno (EEC) na UNIBAN dia 30/03/2011

No último dia 30 de março de 2011 o Prof. Carlos E. Silveira Bueno acompanhada tb da Profa. Roberta Aranha estiveram na UNIBAN em SP para ministrar o Hands-on sobre Instrumentação Rotatória.