Root Canal Obturation
Root Canal Filling Materials
Gutta-Percha
Root Canal Preparation
Tooth Apex
Root Canal Therapy
Dental Pulp Cavity
Root Canal Irrigants
Epoxy Resins
Dental Leakage
Endodontics
Sodium Hypochlorite
Tooth Root
Zinc Oxide-Eugenol Cement
Periapical Periodontitis
Calcium Hydroxide
Smear Layer
Dental Pulp Necrosis
Cuspid
Semicircular Canals
Dental Instruments
Radiography, Bitewing
Silicates
Molar
Materials Testing
Ear Canal
Incisor
Dentin
Tooth, Nonvital
Dimethylpolysiloxanes
Calcium Sulfate
Dental Cements
Periapical Diseases
Periapical Tissue
Dental Marginal Adaptation
Retrograde Obturation
Dental Bonding
Drug Combinations
Stainless Steel
Pulpectomy
Dental Pulp Diseases
Post and Core Technique
Oxides
21st-century endodontics. (1/143)
BACKGROUND: Endodontics as a discipline has offered patients the opportunity to maintain their natural teeth. As the population expands and ages, the demand for endodontic therapy can be expected to increase as patients seek dental options to keep their teeth for a lifetime. CLINICAL IMPLICATIONS: New materials, techniques and instruments are entering the market-place to assist dentists in providing patients with more predictable and reliable endodontic treatment. In addition, these new systems make the delivery of endodontic services more efficient. This article describes these advances in endodontic treatment for dentists interested in incorporating these advances into their clinical practice. (+info)The outcome of root canal treatment. A retrospective study within the armed forces (Royal Air Force). (2/143)
OBJECTIVE: The objective of this study was to investigate the outcome of conventional root canal treatment in a general practice setting within the Royal Air Force dental service. Design Retrospective review. METHODS: Teeth that had been root-filled for 12 months or more by Royal Air Force dental practitioners in patients attending a large Royal Air Force dental centre were included in the study. Following clinical and radiographic review the root fillings were classified as 'definitely successful', 'probably successful' or 'failed' The effect on success of several variables on the outcome was investigated. RESULTS: Out of a total of 406 teeth, 59% were maxillary teeth and 41% were mandibular teeth. Sixty-nine per cent of the total sample had pre-existing periapical radiolucencies. Cold lateral condensation of gutta-percha was the most widely used filling technique (64% of all cases). Fifty per cent of the teeth had root fillings within 2 mm of the radiographic apex, 32% were greater than 2 mm from the radiographic apex and 18% were overfilled. Cold lateral condensation was the most successful (92% overall) filling technique. Maxillary anterior teeth had a better success rate (96%) than other tooth types. Teeth with pre-existing periapical radiolucencies had a higher success rate (87%) than those cases where there was no pre-existing periapical radiolucency (80%). Root fillings that were less than 2 mm from the radiographic apex of the tooth had a higher success rate (88% overall) than those that were greater than 2 mm from the radiographic apex (77% overall). Of the 406 cases, 57% (n=231) were classified as definitely successful, 28% (n=114) were classified as probably successful and 15% (n=62) were classified as failures. Thus, the overall success rate combining definitely successful and probably successful root fillings was 85% (n=344). CONCLUSIONS: Root fillings placed using cold lateral condensation of gutta-percha to within 2 mm of the radiographic apex of the tooth were associated with the best outcome. (+info)Influence of the spatulation of two zinc oxide-eugenol-based sealers on the obturation of lateral canals. (3/143)
The objective of this research was to evaluate, in vitro, the importance of the correct manipulation of endodontic sealers, correlating it with flow rate and with the consequent obturation of root canals. Twenty-four human canines were prepared, 1 mm from the apex, with K-files up to size 50, by means of the step-back technique. Six lateral canals were then drilled in each tooth, with size 10 file fixed to a low-speed handpiece. The teeth were randomly divided into 4 groups, and root canals were obturated either with the Endomethasoneregister mark or target sealer or Grossman sealer, prepared at ideal or incorrect clinical consistency. After obturation by means of the lateral condensation technique, the teeth were radiographed and evaluated as to the number of sealed lateral canals. Statistical analysis revealed significant differences (p < 0.001) between the tested sealers, and indicated the higher capacity of the well-manipulated Grossman sealer to fill lateral canals. It can be concluded that the flow rate of a sealer and its correct manipulation are very important for the satisfactory obturation of lateral canals. (+info)Apical and periapical repair of dogs' teeth with periapical lesions after endodontic treatment with different root canal sealers. (4/143)
The aim of this study was to evaluate the apical and periapical repair after root canal treatment of dogs' teeth with pulp necrosis and chronic periapical lesion using different root canal sealers. After periapical lesion induction, forty-four root canals of 3 dogs were submitted to biomechanical preparation using 5.25% sodium hypochlorite as an irrigating solution. A calcium hydroxide dressing (Calen PMCC) was applied for 15 days and the root canals were filled using the lateral condensation technique with gutta-percha points and Sealapex, AH Plus or Sealer Plus for sealing. After 180 days, the animals were sacrificed by anesthetic overdose and the obtained histological sections were stained with hematoxylin-eosin for optical microscopic analysis of the apical and periapical repair. The groups filled with Sealapex and AH Plus had better histological repair (p < 0.05) than the group filled with Sealer Plus, that had unsatisfactory results. (+info)Analysis of the film thickness of a root canal sealer following three obturation techniques. (5/143)
The aim of this study was to obtain a quantitative analysis of the film thickness of a root canal sealer formed after filling by three different techniques. Thirty human maxillary incisors were selected and access cavities were prepared using high-speed diamond stones and water spray. A size #15 K-Flexofile was introduced in the canal of each specimen until it was seen just at the apical foramen. The working length was determined to be 1 mm short of that position and the canals were prepared to an apical size of #45 K-Flexofile. Copious irrigation with 5.25% NaOCl (sodium hypochlorite) was used during and after instrumentation. The samples were divided into three groups and obturated as follows: G1 - lateral condensation, G2 - lateral condensation with an accessory cone, and G3 - continuous wave of condensation. The samples were evaluated in the cervical, middle and apical thirds. The film thickness of the root canal sealer was measured through a microscopic evaluation. Statistical analysis was obtained using the Wilcox test. Statistical analysis showed significant differences between G3 and G1, G3 and G2 (p < 0.05). In general, the lowest film thickness was observed in the continuous wave of condensation (G3). Lateral condensation with an accessory cone (G2) and lateral condensation (G1) demonstrated poorer results in this study, showing a higher film thickness. The small film thickness of the sealer obtained by the continuous wave of condensation technique may increase the clinical performance of this technique. (+info)Inferior alveolar nerve injury caused by thermoplastic gutta-percha overextension. (6/143)
Injuries to the inferior alveolar nerve following trauma resulting in a mandibular fracture are well documented and are a well-known risk when surgical procedures are planned for the mandible in the region of the inferior alveolar canal. Such injuries are relatively rare following endodontic therapy. This article reports a case of combined thermal and pressure injury to the inferior alveolar nerve, reviews the pathogenesis of such an injury and makes suggestions for its management. (+info)Apical seal of root canals with gutta-percha points with calcium hydroxide. (7/143)
The objective of this research was to determine if gutta-percha points with calcium hydroxide [Ca(OH)2] improve the apical seal after root canal filling and if the master point does it alone. Human single recently extracted teeth were biomechanically prepared and the root canals filled by the lateral condensation technique with ZOE and gutta-percha points, with or without calcium hydroxide. The teeth were placed into a 2% methylene blue solution in a vacuum environment for 24 h after which they were processed for stereomicroscope evaluation. Better results were observed with the teeth filled with gutta-percha points with calcium hydroxide (p=0.01). We conclude that these new points make a better apical seal and that these results can also be obtained with the calcium hydroxide master point associated with regular ones (p=0.05). (+info)The influence of orifice sealing with various filling materials on coronal leakage. (8/143)
The aim of this study was to evaluate the sealing ability of materials filled in the orifice after root canal treatment. A total of 100 root canal-treated teeth were divided into six experimental groups: 1, Protect Liner F (PL); 2, Panavia F (PF); 3, DC core-Light cured (DCL); 4, DC core-Chemically cured (DCC); 5, Super-EBA (SE); 6, Ketac (KC). The materials were filled--to a depth of 4 mm--in the coronal part of the root canals, and evaluated for microleakage. The number of teeth that failed to stop dye penetration in the filled materials differed statistically between PL and DCL or SE or KC, PF and SE or KC, DCC and KC, DCL and KC. The mean distance of dye penetration differed significantly between PL and SE or DCC, PF and SE or DCC. Hence, these results indicated the advantageous sealing ability of adhesive and flowable materials. (+info)Root canal obturation is the process of filling and sealing the root canal system of a tooth after it has been cleaned and shaped during endodontic treatment. The goal of obturation is to prevent reinfection or contamination of the root canal system by completely filling and sealing the space with an inert, biocompatible material such as gutta-percha and a suitable sealant. This procedure helps to preserve the natural tooth structure, alleviate pain, and maintain proper dental function.
Root canal filling materials are substances used to fill and seal the root canal system inside a tooth following root canal treatment. The main goal of using these materials is to prevent reinfection, provide structural support to the weakened tooth, and restore its functionality.
Commonly used root canal filling materials include:
1. Gutta-percha: A rubber-like material derived from the sap of the Palaquium gutta tree. It is widely used as the primary filling material due to its biocompatibility, malleability, and ability to be compacted into the root canal space. Gutta-percha points or cones are typically used in conjunction with a sealer for optimal adaptation and seal.
2. Sealers: These are adhesive materials that help bond gutta-percha to dentin walls and improve the seal between the filling material and root canal walls. Some commonly used sealers include zinc oxide eugenol, calcium hydroxide-based sealers, and resin-based sealers.
3. Silver points: These are silver cones with a sharp tip that can be inserted into the root canal space as an alternative to gutta-percha. However, their use has declined due to concerns about corrosion and potential tooth discoloration.
4. Mineral trioxide aggregate (MTA): A biocompatible cement composed primarily of Portland cement, bismuth oxide, and other additives. MTA is used for various applications in endodontics, including root-end filling, perforation repair, and apexification. It has excellent sealing ability, antibacterial properties, and promotes hard tissue formation.
5. Bioceramics: These are advanced materials with similar properties to MTA but with improved handling characteristics and setting times. They include materials like Bioaggregate, EndoSequence BC Sealer, and iRoot SP.
6. Thermoplasticized gutta-percha: This technique involves heating and softening gutta-percha using a specialized device called a thermomechanical compactor or an oven. The softened gutta-percha is then injected into the root canal space, providing better adaptation to the root canal walls and creating a more uniform seal.
The choice of materials depends on various factors, including the clinical situation, patient's needs, and practitioner's preference.
Gutta-Percha is defined in the medical field as a naturally occurring rubber derived from the sap of the Palaquium gutta tree, which is native to Malaysia. It has been historically used in various medical and dental applications due to its unique properties such as being malleable yet durable when heated, and remaining stable at room temperature.
In dentistry, gutta-percha is commonly utilized as a root canal filling material, as it can be easily shaped and compacted into the root canal space to seal off the tooth from bacteria and other infectious agents. It is often used in combination with a sealer cement to ensure a proper seal and prevent reinfection of the tooth.
Overall, gutta-percha is a valuable material in medical and dental applications due to its unique properties and versatility.
Root canal preparation is a procedure in endodontics, which is the branch of dentistry dealing with the dental pulp and tissues surrounding the root of a tooth. The goal of root canal preparation is to thoroughly clean, shape, and disinfect the root canal system of an infected or damaged tooth, in order to prepare it for a filling material that will seal and protect the tooth from further infection or damage.
The procedure involves the use of specialized dental instruments, such as files and reamers, to remove the infected or necrotic pulp tissue and debris from within the root canal. The root canal is then shaped using progressively larger files to create a tapering preparation that facilitates the placement of the filling material. Irrigation solutions are used to help flush out any remaining debris and disinfect the canal.
The success of root canal preparation depends on several factors, including the thoroughness of cleaning and shaping, the effectiveness of disinfection, and the sealing ability of the filling material. Properly performed, root canal preparation can alleviate pain, save a tooth from extraction, and restore function and aesthetics to the mouth.
The tooth apex is the tip or the narrowed end of the root of a tooth. It is the portion that is located deepest within the jawbone and it contains dental pulp tissue, which includes nerves and blood vessels. The apex plays an essential role in the development and maintenance of a tooth, as well as in the process of root canal treatment, where instruments and materials are introduced through it to clean and fill the root canals. It is also a crucial landmark in endodontic surgery and dental imaging.
Root canal therapy, also known as endodontic treatment, is a dental procedure that involves the removal of infected or damaged pulp tissue from within a tooth's root canal system. The root canal system is a series of narrow channels that run from the center of the tooth (pulp chamber) down to the tip of the tooth roots, containing nerves, blood vessels, and connective tissues.
During the procedure, the dentist or endodontist will gain access to the pulp chamber, carefully clean and shape the root canals using specialized instruments, and then fill and seal them with a rubber-like material called gutta-percha. This helps prevent reinfection and preserves the structural integrity of the tooth. In many cases, a crown or other restoration is placed over the treated tooth to protect it and restore its function and appearance.
Root canal therapy is typically recommended when the pulp tissue becomes inflamed or infected due to deep decay, repeated dental procedures, cracks, or chips in the teeth. The goal of this treatment is to alleviate pain, preserve natural tooth structure, and prevent the need for extraction.
The dental pulp cavity, also known as the pulp chamber, is the innermost part of a tooth that contains the dental pulp. It is located in the crown portion of the tooth and is shaped like an upside-down pyramid with the narrow end point towards the root of the tooth.
The dental pulp is a soft tissue that contains nerves, blood vessels, and connective tissue. It plays an important role in the development and maintenance of the tooth, including providing nutrients to the dentin and producing reparative dentin.
The dental pulp cavity can become infected or inflamed due to tooth decay, trauma, or other factors, leading to symptoms such as pain, sensitivity, and swelling. In such cases, treatment options may include root canal therapy, which involves removing the infected or inflamed pulp tissue from the dental pulp cavity and sealing the space to prevent further infection.
Root canal irrigants are substances used during root canal treatment to clean, disinfect and rinse the root canal system. The main goal is to remove tissue remnants, dentinal debris, and microorganisms from the root canal space, thus reducing the risk of reinfection and promoting healing. Commonly used irrigants include sodium hypochlorite (NaOCl), which is a potent antimicrobial agent, and ethylenediaminetetraacetic acid (EDTA), which is used to remove the smear layer and improve the penetration of other irrigants and root canal sealers. The choice of irrigant, concentration, and application technique may vary depending on the specific case and clinician's preference.
Epoxy resins are a type of synthetic polymer that are created through the reaction of an epoxide compound with a hardening agent or curing agent. These materials are known for their strong adhesive properties, chemical resistance, and durability. They are commonly used in coatings, adhesives, and composite materials for various industrial, commercial, and consumer applications.
In medical contexts, epoxy resins may be used to create durable and reliable components for medical devices or equipment. For example, they might be used to make housings for medical instruments, or to bond together different parts of a medical device. However, it's worth noting that epoxy resins are not typically used in direct contact with the body or as part of medical treatments.
It's important to note that while epoxy resins have many useful properties, they can also release potentially harmful chemicals during their production and disposal. As such, appropriate safety precautions should be taken when working with these materials.
Dental leakage, also known as "microleakage" in dental terminology, refers to the seepage or penetration of fluids, bacteria, or other substances between the walls of a dental restoration (such as a filling, crown, or bridge) and the prepared tooth structure. This occurs due to the presence of microscopic gaps or spaces at the interface of the restoration and the tooth.
Dental leakage can lead to several problems, including:
1. Recurrent decay: The seepage of fluids, bacteria, and sugars from the oral environment can cause secondary tooth decay around the margins of the restoration.
2. Sensitivity: Microleakage may result in temperature sensitivity or pain when consuming hot or cold foods and beverages due to fluid movement within the gap.
3. Discoloration: Over time, dental leakage might lead to staining of the tooth structure around the restoration, resulting in an unaesthetic appearance.
4. Failed restorations: Persistent dental leakage can weaken the bond between the restoration and the tooth, increasing the risk of restoration failure and the need for replacement.
To prevent dental leakage, dentists employ various techniques during restoration placement, such as using appropriate adhesives, following meticulous preparation protocols, and ensuring a tight seal around the margins of the restoration. Regular dental check-ups and professional cleanings are essential to monitor the condition of existing restorations and address any issues before they become more severe.
Endodontics is a branch of dentistry that deals with the diagnosis, prevention, and treatment of diseases or injuries of the dental pulp (the soft tissue inside the tooth that contains nerves, blood vessels, and connective tissue) and the tissues surrounding the root of the tooth. The most common endodontic procedure is root canal therapy, which involves removing infected or inflamed pulp tissue from within the tooth, cleaning and shaping the root canals, and filling and sealing the space to prevent reinfection. Endodontists are dental specialists who have undergone additional training in this field beyond dental school.
Sodium hypochlorite is a chemical compound with the formula NaOCl. It is a pale greenish-yellow liquid that is highly reactive and unstable in its pure form. However, it is commonly available as a dilute aqueous solution known as bleach, which has the characteristic smell of chlorine.
In medical terms, sodium hypochlorite is widely used for its disinfectant and antiseptic properties. It is effective against a broad range of microorganisms, including bacteria, viruses, fungi, and spores. Sodium hypochlorite solution is commonly used to disinfect surfaces, medical instruments, and wounds.
When applied to wounds or skin infections, sodium hypochlorite can help reduce bacterial load, promote healing, and prevent infection. It is also a component of some mouthwashes and toothpastes, where it helps to kill bacteria and freshen breath. However, it can be irritating to the skin and mucous membranes, so it should be used with caution and at appropriate concentrations.
A tooth root is the part of a tooth that is embedded in the jawbone and cannot be seen when looking at a person's smile. It is the lower portion of a tooth that typically has a conical shape and anchors the tooth to the jawbone through a periodontal ligament. The tooth root is covered by cementum, a specialized bone-like tissue, and contains nerve endings and blood vessels within its pulp chamber.
The number of roots in a tooth can vary depending on the type of tooth. For example, incisors typically have one root, canines may have one or two roots, premolars usually have one or two roots, and molars often have two to four roots. The primary function of the tooth root is to provide stability and support for the crown of the tooth, allowing it to withstand the forces of biting and chewing.
Zinc oxide-eugenol cement is a dental material used as a temporary filling or base. It is a mixture of zinc oxide powder and eugenol (oil of cloves) liquid. The setting reaction of this cement is an acid-base reaction between the zinc oxide and eugenol, which results in the formation of a hard, insoluble material.
The cement has several desirable properties, including good biocompatibility, low toxicity, and antimicrobial activity due to the presence of eugenol. It is also radiopaque, meaning that it can be seen on X-rays, which makes it useful for temporary fillings in areas where there may be a need for future monitoring or evaluation.
Zinc oxide-eugenol cement is commonly used as a temporary filling material during root canal treatment, to seal the access cavity and protect the pulp tissue until a permanent restoration can be placed. It can also be used as a base material under dental restorations such as amalgam or composite fillings, providing a protective layer between the restoration and the dentin.
However, it is not recommended for long-term use due to its lack of strength and durability compared to other filling materials. Prolonged exposure to eugenol can also cause tissue irritation in some individuals.
Periapical periodontitis is a medical condition that affects the tissues surrounding the root tip (apex) of a tooth. It is typically caused by bacterial infection that originates from the dental pulp, which is the soft tissue inside the tooth that contains nerves and blood vessels. When the dental pulp becomes inflamed or infected due to decay or injury, it can lead to periapical periodontitis if left untreated.
The infection spreads from the pulp through the root canal and forms an abscess at the tip of the tooth root. This results in inflammation and destruction of the surrounding bone and periodontal tissues, leading to symptoms such as pain, swelling, tenderness, and sensitivity to hot or cold temperatures.
Periapical periodontitis is usually treated with root canal therapy, which involves removing the infected pulp tissue, cleaning and disinfecting the root canal, and filling and sealing the space to prevent reinfection. In some cases, antibiotics may also be prescribed to help clear up any residual infection. If left untreated, periapical periodontitis can lead to more serious complications such as tooth loss or spread of infection to other parts of the body.
Calcium hydroxide is an inorganic compound with the chemical formula Ca(OH)2. It is also known as slaked lime or hydrated lime. Calcium hydroxide is a white, odorless, tasteless, and alkaline powder that dissolves in water to form a caustic solution.
Medically, calcium hydroxide is used as an antacid to neutralize stomach acid and relieve symptoms of heartburn, indigestion, and upset stomach. It is also used as a topical agent to treat skin conditions such as poison ivy rash, sunburn, and minor burns. When applied to the skin, calcium hydroxide helps to reduce inflammation, neutralize irritants, and promote healing.
In dental applications, calcium hydroxide is used as a filling material for root canals and as a paste to treat tooth sensitivity. It has the ability to stimulate the formation of new dentin, which is the hard tissue that makes up the bulk of the tooth.
It's important to note that calcium hydroxide should be used with caution, as it can cause irritation and burns if it comes into contact with the eyes or mucous membranes. It should also be stored in a cool, dry place away from heat and open flames.
A smear layer is a thin, amorphous layer of debris that forms on the dentin surface when it comes into contact with instruments or solutions during dental procedures such as cavity preparation, root canal treatment, or biopsies. This layer is composed of organic and inorganic components, including dentinal cuttings, pulp tissue, bacteria, and materials from the irrigating solution. The smear layer can occlude the dentinal tubules, affecting the adhesion of filling materials and sealing ability of obturation points. Therefore, it is often removed during root canal preparation using various methods such as chemical dissolution, ultrasonic agitation, or laser ablation to ensure proper disinfection and seal of the root canal system.
Dental pulp necrosis is the death of the soft tissue inside a tooth, known as the dental pulp. The dental pulp contains nerves, blood vessels, and connective tissue that help the tooth grow and develop. It also provides sensations like hot or cold. Dental pulp necrosis can occur due to various reasons such as tooth decay, trauma, or infection. When the dental pulp dies, it can no longer provide nutrients to the tooth, making it more susceptible to fractures and infections. Symptoms of dental pulp necrosis may include pain, sensitivity, swelling, or abscess formation. Treatment options for dental pulp necrosis typically involve root canal therapy or extraction of the affected tooth.
A cuspid, also known as a canine tooth or cuspid tooth, is a type of tooth in mammals. It is the pointiest tooth in the dental arch and is located between the incisors and bicuspids (or premolars). Cuspids have a single cusp or pointed tip that is used for tearing and grasping food. In humans, there are four cuspids, two on the upper jaw and two on the lower jaw, one on each side of the dental arch.
The semicircular canals are part of the vestibular system in the inner ear that contributes to the sense of balance and spatial orientation. They are composed of three fluid-filled tubes, each located in a different plane (anterior, posterior, and horizontal) and arranged at approximately right angles to each other. The semicircular canals detect rotational movements of the head, enabling us to maintain our equilibrium during movement.
When the head moves, the fluid within the semicircular canals moves in response to that motion. At the end of each canal is a structure called the ampulla, which contains hair cells with hair-like projections (stereocilia) embedded in a gelatinous substance. As the fluid moves, it bends the stereocilia, stimulating the hair cells and sending signals to the brain via the vestibular nerve. The brain then interprets these signals to determine the direction and speed of head movement, allowing us to maintain our balance and orientation in space.
Dental instruments are specialized tools that dentists, dental hygienists, and other oral healthcare professionals use to examine, clean, and treat teeth and gums. These instruments come in various shapes and sizes, and each one is designed for a specific purpose. Here are some common dental instruments and their functions:
1. Mouth mirror: A small, handheld mirror used to help the dentist see hard-to-reach areas of the mouth and reflect light onto the teeth and gums.
2. Explorer: A sharp, hooked instrument used to probe teeth and detect cavities, tartar, or other dental problems.
3. Sickle scaler: A curved, sharp-edged instrument used to remove calculus (tartar) from the tooth surface.
4. Periodontal probe: A blunt, calibrated instrument used to measure the depth of periodontal pockets and assess gum health.
5. Dental syringe: A device used to inject local anesthesia into the gums before dental procedures.
6. High-speed handpiece: Also known as a dental drill, it is used to remove decay, shape teeth, or prepare them for fillings and other restorations.
7. Low-speed handpiece: A slower, quieter drill used for various procedures, such as placing crowns or veneers.
8. Suction tip: A thin tube that removes saliva, water, and debris from the mouth during dental procedures.
9. Cotton rolls: Small squares of cotton used to isolate teeth, absorb fluids, and protect soft tissues during dental treatments.
10. Dental forceps: Specialized pliers used to remove teeth or hold them in place while restorations are being placed.
11. Elevators: Curved, wedge-shaped instruments used to loosen or lift teeth out of their sockets.
12. Rubber dam: A thin sheet of rubber or latex that isolates a specific tooth or area during dental treatment, keeping it dry and free from saliva and debris.
These are just a few examples of the many dental instruments used in modern dentistry. Each one plays an essential role in maintaining oral health and providing effective dental care.
Calcium compounds are chemical substances that contain calcium ions (Ca2+) bonded to various anions. Calcium is an essential mineral for human health, and calcium compounds have numerous biological and industrial applications. Here are some examples of calcium compounds with their medical definitions:
1. Calcium carbonate (CaCO3): A common mineral found in rocks and sediments, calcium carbonate is also a major component of shells, pearls, and bones. It is used as a dietary supplement to prevent or treat calcium deficiency and as an antacid to neutralize stomach acid.
2. Calcium citrate (C6H8CaO7): A calcium salt of citric acid, calcium citrate is often used as a dietary supplement to prevent or treat calcium deficiency. It is more soluble in water and gastric juice than calcium carbonate, making it easier to absorb, especially for people with low stomach acid.
3. Calcium gluconate (C12H22CaO14): A calcium salt of gluconic acid, calcium gluconate is used as a medication to treat or prevent hypocalcemia (low blood calcium levels) and hyperkalemia (high blood potassium levels). It can be given intravenously, orally, or topically.
4. Calcium chloride (CaCl2): A white, deliquescent salt, calcium chloride is used as a de-icing agent, a food additive, and a desiccant. In medical settings, it can be used to treat hypocalcemia or hyperkalemia, or as an antidote for magnesium overdose.
5. Calcium lactate (C6H10CaO6): A calcium salt of lactic acid, calcium lactate is used as a dietary supplement to prevent or treat calcium deficiency. It is less commonly used than calcium carbonate or calcium citrate but may be better tolerated by some people.
6. Calcium phosphate (Ca3(PO4)2): A mineral found in rocks and bones, calcium phosphate is used as a dietary supplement to prevent or treat calcium deficiency. It can also be used as a food additive or a pharmaceutical excipient.
7. Calcium sulfate (CaSO4): A white, insoluble powder, calcium sulfate is used as a desiccant, a plaster, and a fertilizer. In medical settings, it can be used to treat hypocalcemia or as an antidote for magnesium overdose.
8. Calcium hydroxide (Ca(OH)2): A white, alkaline powder, calcium hydroxide is used as a disinfectant, a flocculant, and a building material. In medical settings, it can be used to treat hyperkalemia or as an antidote for aluminum overdose.
9. Calcium acetate (Ca(C2H3O2)2): A white, crystalline powder, calcium acetate is used as a food additive and a medication. It can be used to treat hyperphosphatemia (high blood phosphate levels) in patients with kidney disease.
10. Calcium carbonate (CaCO3): A white, chalky powder, calcium carbonate is used as a dietary supplement, a food additive, and a pharmaceutical excipient. It can also be used as a building material and a mineral supplement.
Bitewing radiography is a type of dental x-ray examination that involves taking multiple images of the teeth while they are bite together. These x-rays primarily provide a detailed view of the crowns of the upper and lower teeth in a single view, allowing dentists to diagnose and monitor interdental decay (decay between teeth), dental caries, and any bone loss around fillings or near the gum line. Bitewing radiographs are essential for detecting dental problems at an early stage, which can help prevent further damage and costly treatments in the future. They are typically taken annually or biennially during routine dental checkups.
I'm sorry for any confusion, but "silicates" is not a term typically used in medical definitions. Silicates are a broad class of minerals that are composed of silicon and oxygen atoms in various arrangements. They are abundant in Earth's crust and are commonly found in sand, quartz, and many types of rocks.
While not directly related to human health, some silicate-based materials can have medical applications. For example, certain forms of magnesium silicate (talc) have been used as a component in some medications for their ability to absorb moisture and help reduce the risk of skin irritation. However, exposure to certain types of silica dust (like crystalline silica) has been linked to lung diseases such as silicosis, bronchitis, and lung cancer, especially in occupational settings like construction, sandblasting, and mining.
If you have any concerns about silicates or their potential impact on your health, I would recommend consulting a healthcare professional for personalized advice based on your specific situation.
In the context of dentistry, a molar is a type of tooth found in the back of the mouth. They are larger and wider than other types of teeth, such as incisors or canines, and have a flat biting surface with multiple cusps. Molars are primarily used for grinding and chewing food into smaller pieces that are easier to swallow. Humans typically have twelve molars in total, including the four wisdom teeth.
In medical terminology outside of dentistry, "molar" can also refer to a unit of mass in the apothecaries' system of measurement, which is equivalent to 4.08 grams. However, this usage is less common and not related to dental or medical anatomy.
I'm happy to help! However, I must clarify that "materials testing" is not a medical term per se. It is a term used in various fields, including engineering and materials science, to describe the process of subjecting materials to different tests to evaluate their properties and performance under various conditions.
In the context of medical devices or implants, materials testing may refer to the evaluation of the physical and mechanical properties of materials used in their construction. These tests can include assessments of strength, durability, biocompatibility, and other factors that are critical to ensuring the safety and efficacy of medical devices.
Medical device manufacturers must comply with regulatory standards for materials testing to ensure that their products meet specific requirements for performance, safety, and quality. These standards may vary depending on the type of device, its intended use, and the country or region in which it will be marketed and sold.
The ear canal, also known as the external auditory canal, is the tubular passage that extends from the outer ear (pinna) to the eardrum (tympanic membrane). It is lined with skin and tiny hairs, and is responsible for conducting sound waves from the outside environment to the middle and inner ear. The ear canal is typically about 2.5 cm long in adults and has a self-cleaning mechanism that helps to keep it free of debris and wax.
An incisor is a type of tooth that is primarily designed for biting off food pieces rather than chewing or grinding. They are typically chisel-shaped, flat, and have a sharp cutting edge. In humans, there are eight incisors - four on the upper jaw and four on the lower jaw, located at the front of the mouth. Other animals such as dogs, cats, and rodents also have incisors that they use for different purposes like tearing or gnawing.
The spinal canal is the bony, protective channel within the vertebral column that contains and houses the spinal cord. It extends from the foramen magnum at the base of the skull to the sacrum, where the spinal cord ends and forms the cauda equina. The spinal canal is formed by a series of vertebral bodies stacked on top of each other, intervertebral discs in between them, and the laminae and spinous processes that form the posterior elements of the vertebrae. The spinal canal provides protection to the spinal cord from external trauma and contains cerebrospinal fluid (CSF) that circulates around the cord, providing nutrients and cushioning. Any narrowing or compression of the spinal canal, known as spinal stenosis, can cause various neurological symptoms due to pressure on the spinal cord or nerve roots.
Dentin is the hard, calcified tissue that lies beneath the enamel and cementum of a tooth. It forms the majority of the tooth's structure and is composed primarily of mineral salts (hydroxyapatite), collagenous proteins, and water. Dentin has a tubular structure, with microscopic channels called dentinal tubules that radiate outward from the pulp chamber (the center of the tooth containing nerves and blood vessels) to the exterior of the tooth. These tubules contain fluid and nerve endings that are responsible for the tooth's sensitivity to various stimuli such as temperature changes, pressure, or decay. Dentin plays a crucial role in protecting the dental pulp while also providing support and structure to the overlying enamel and cementum.
Aluminum compounds refer to chemical substances that are formed by the combination of aluminum with other elements. Aluminum is a naturally occurring metallic element, and it can combine with various non-metallic elements to form compounds with unique properties and uses. Some common aluminum compounds include:
1. Aluminum oxide (Al2O3): Also known as alumina, this compound is formed when aluminum combines with oxygen. It is a white, odorless powder that is highly resistant to heat and corrosion. Aluminum oxide is used in a variety of applications, including ceramics, abrasives, and refractories.
2. Aluminum sulfate (Al2(SO4)3): This compound is formed when aluminum combines with sulfuric acid. It is a white, crystalline powder that is highly soluble in water. Aluminum sulfate is used as a flocculant in water treatment, as well as in the manufacture of paper and textiles.
3. Aluminum chloride (AlCl3): This compound is formed when aluminum combines with chlorine. It is a white or yellowish-white solid that is highly deliquescent, meaning it readily absorbs moisture from the air. Aluminum chloride is used as a catalyst in chemical reactions, as well as in the production of various industrial chemicals.
4. Aluminum hydroxide (Al(OH)3): This compound is formed when aluminum combines with hydroxide ions. It is a white, powdery substance that is amphoteric, meaning it can react with both acids and bases. Aluminum hydroxide is used as an antacid and as a fire retardant.
5. Zinc oxide (ZnO) and aluminum hydroxide (Al(OH)3): This compound is formed when zinc oxide is combined with aluminum hydroxide. It is a white, powdery substance that is used as a filler in rubber and plastics, as well as in the manufacture of paints and coatings.
It's important to note that some aluminum compounds have been linked to health concerns, particularly when they are inhaled or ingested in large quantities. For example, aluminum chloride has been shown to be toxic to animals at high doses, while aluminum hydroxide has been associated with neurological disorders in some studies. However, the risks associated with exposure to these compounds are generally low, and they are considered safe for most industrial and consumer uses when used as directed.
A nonvital tooth is one that no longer has a living or viable pulp, which contains the nerves and blood vessels inside the tooth. This condition can occur due to various reasons such as tooth decay that has progressed deeply into the tooth, dental trauma, or previous invasive dental procedures. As a result, the tooth loses its sensitivity to temperature changes and may darken in color. Nonvital teeth typically require root canal treatment to remove the dead pulp tissue, disinfect the canals, and fill them with an inert material to preserve the tooth structure and function.
Dimethylpolysiloxanes are a type of silicone-based compound that are often used as lubricants, coatings, and fluid ingredients in various industrial and consumer products. In medical terms, they can be found in some pharmaceutical and medical device formulations as inactive ingredients. They are typically included as anti-foaming agents or to improve the texture and consistency of a product.
Dimethylpolysiloxanes are made up of long chains of silicon and oxygen atoms, with methyl groups (CH3) attached to the silicon atoms. This gives them unique properties such as low toxicity, thermal stability, and resistance to oxidation and water absorption. However, some people may have allergic reactions or sensitivities to dimethylpolysiloxanes, so they should be used with caution in medical applications.
Calcium sulfate is an inorganic compound with the chemical formula CaSO4. It is a white, odorless, and tasteless solid that is insoluble in alcohol but soluble in water. Calcium sulfate is commonly found in nature as the mineral gypsum, which is used in various industrial applications such as plaster, wallboard, and cement.
In the medical field, calcium sulfate may be used as a component of some pharmaceutical products or as a surgical material. For example, it can be used as a bone void filler to promote healing after bone fractures or surgeries. Calcium sulfate is also used in some dental materials and medical devices.
It's important to note that while calcium sulfate has various industrial and medical uses, it should not be taken as a dietary supplement or medication without the guidance of a healthcare professional.
Dental cements are materials used in dentistry to bond or seal restorative dental materials, such as crowns, fillings, and orthodontic appliances, to natural tooth structures. They can be made from various materials including glass ionomers, resin-modified glass ionomers, zinc oxide eugenol, polycarboxylate, and composite resins. The choice of cement depends on the specific clinical situation and the properties required, such as strength, durability, biocompatibility, and esthetics.
Periapical diseases are a group of conditions that affect the periapical tissue, which is the tissue located at the tip of the tooth roots. These diseases are primarily caused by bacterial infections that originate from the dental pulp, the soft tissue inside the tooth. The most common types of periapical diseases include:
1. Periapical periodontitis: This is an inflammatory reaction of the periapical tissues due to the spread of infection from the dental pulp. It can cause symptoms such as pain, swelling, and tenderness in the affected area.
2. Periapical abscess: An abscess is a collection of pus that forms in response to an infection. A periapical abscess occurs when the infection from the dental pulp spreads to the periapical tissue, causing pus to accumulate in the area. This can cause severe pain, swelling, and redness in the affected area.
3. Periapical granuloma: A granuloma is a mass of inflammatory cells that forms in response to an infection. A periapical granuloma is a small, benign tumor-like growth that develops in the periapical tissue due to chronic inflammation caused by a bacterial infection.
Periapical diseases are typically treated with root canal therapy, which involves removing the infected dental pulp and cleaning and sealing the root canals to prevent further infection. In some cases, extraction of the affected tooth may be necessary if the infection is too severe or if the tooth is not salvageable.
Periapical tissue, in the field of dentistry and oral medicine, refers to the tissue that surrounds the apical region of a tooth. The apical region is the tip or apex of the root of a tooth. Periapical tissues include the periodontal ligament, the alveolar bone, and the dental follicle. These tissues play a crucial role in supporting and protecting the tooth. Inflammation or infection of the periapical tissue can lead to a condition known as periapical periodontitis, which may require root canal treatment or tooth extraction.
Dental marginal adaptation refers to the way in which a dental restoration, such as a filling or crown, fits precisely and accurately along the margin or edge where it meets the tooth structure. The term "marginal" describes the border between the restoration and the tooth. Ideally, this junction should be tight and smooth, without any gaps or spaces that could allow for the accumulation of bacteria, food debris, or dental plaque.
Achieving good marginal adaptation is crucial to ensure the longevity and success of a dental restoration. When the margin is well-adapted, it helps prevent microleakage, secondary tooth decay, and sensitivity. It also contributes to the overall seal and integrity of the restoration, minimizing the risk of recurrent caries or other complications.
The process of achieving optimal marginal adaptation involves careful preparation of the tooth structure, precise impression-taking techniques, and meticulous fabrication of the dental restoration. The use of high-quality materials and modern technologies, such as digital impressions and CAD/CAM systems, can further enhance the accuracy and predictability of the marginal adaptation.
Retrograde obturation is a procedure used in endodontics, which is the branch of dentistry dealing with the dental pulp and tissues surrounding the root of a tooth. The goal of this procedure is to seal the root canal system from the bottom up, filling it with a suitable material to prevent reinfection or recontamination.
In a retrograde obturation, the clinician gains access to the apical (tip) end of the root canal by creating an opening through the tooth's crown or the surrounding bone. After carefully cleaning and shaping the apical portion of the root canal, a filling material is introduced into the space in a backward or "retrograde" direction. This process aims to create a tight seal that prevents bacteria and their byproducts from entering the root canal system and causing further infection or inflammation.
The most commonly used materials for retrograde obturation include:
1. Zinc oxide-eugenol cement (IRM, Super EBA)
2. Mineral trioxide aggregate (MTA)
3. Bioceramic sealers (i.e., Biodentine, Endosequence BC RRM Putty)
Retrograde obturation is typically performed during apical surgery or periradicular surgery when conventional root canal treatment has failed to resolve a persistent infection or inflammation in the periapical tissues.
Odontometry is a term used in dentistry that refers to the measurement of teeth, particularly the size and length of teeth or tooth roots. It is often used in forensic dentistry for identification purposes, such as in age estimation, sex determination, or individual identification of human remains. The measurements can be taken using various methods, including radiographs (x-rays), calipers, or specialized software.
In some contexts, odontometry may also refer to the process of measuring the amount of dental work required for a particular treatment plan, although this usage is less common.
Dental bonding is a cosmetic dental procedure in which a tooth-colored resin material (a type of plastic) is applied and hardened with a special light, which ultimately "bonds" the material to the tooth to improve its appearance. According to the American Dental Association (ADA), dental bonding can be used for various purposes, including:
1. Repairing chipped or cracked teeth
2. Improving the appearance of discolored teeth
3. Closing spaces between teeth
4. Protecting a portion of the tooth's root that has been exposed due to gum recession
5. Changing the shape and size of teeth
Dental bonding is generally a quick and painless procedure, often requiring little to no anesthesia. The surface of the tooth is roughened and conditioned to help the resin adhere properly. Then, the resin material is applied, molded, and smoothed to the desired shape. A special light is used to harden the material, which typically takes only a few minutes. Finally, the bonded material is trimmed, shaped, and polished to match the surrounding teeth.
While dental bonding can be an effective solution for minor cosmetic concerns, it may not be as durable or long-lasting as other dental restoration options like veneers or crowns. The lifespan of a dental bonding procedure typically ranges from 3 to 10 years, depending on factors such as oral habits, location of the bonded tooth, and proper care. Regular dental checkups and good oral hygiene practices can help extend the life of dental bonding.
A drug combination refers to the use of two or more drugs in combination for the treatment of a single medical condition or disease. The rationale behind using drug combinations is to achieve a therapeutic effect that is superior to that obtained with any single agent alone, through various mechanisms such as:
* Complementary modes of action: When different drugs target different aspects of the disease process, their combined effects may be greater than either drug used alone.
* Synergistic interactions: In some cases, the combination of two or more drugs can result in a greater-than-additive effect, where the total response is greater than the sum of the individual responses to each drug.
* Antagonism of adverse effects: Sometimes, the use of one drug can mitigate the side effects of another, allowing for higher doses or longer durations of therapy.
Examples of drug combinations include:
* Highly active antiretroviral therapy (HAART) for HIV infection, which typically involves a combination of three or more antiretroviral drugs to suppress viral replication and prevent the development of drug resistance.
* Chemotherapy regimens for cancer treatment, where combinations of cytotoxic agents are used to target different stages of the cell cycle and increase the likelihood of tumor cell death.
* Fixed-dose combination products, such as those used in the treatment of hypertension or type 2 diabetes, which combine two or more active ingredients into a single formulation for ease of administration and improved adherence to therapy.
However, it's important to note that drug combinations can also increase the risk of adverse effects, drug-drug interactions, and medication errors. Therefore, careful consideration should be given to the selection of appropriate drugs, dosing regimens, and monitoring parameters when using drug combinations in clinical practice.
I'm sorry for any confusion, but "Stainless Steel" is not a medical term. It is a type of steel that contains at least 10.5% chromium content by mass, and usually contains nickel as well. The chromium forms a passive film that protects the metal from corrosion and staining. Stainless steel is widely used in various industries including medicine, for example, in medical equipment and surgical instruments due to its resistance to rust and corrosion.
A pulpectomy is a dental procedure that involves the removal of the entire pulp tissue, which includes the nerves, blood vessels, and connective tissues from within the root canal(s) of a tooth. This procedure is typically performed when the pulp tissue becomes infected or inflamed due to decay, trauma, or other causes.
Once the pulp tissue is removed, the root canal(s) are cleaned, shaped, and filled with an inert material such as gutta-percha to prevent reinfection and maintain the structural integrity of the tooth. A pulpectomy may be performed as a standalone procedure or as part of a larger treatment plan, such as a root canal therapy or endodontic treatment.
It's important to note that while a pulpectomy removes the infected or inflamed tissue from within the tooth, it does not address any external damage or decay that may be present on the tooth's surface. Additional dental work, such as a filling or crown, may be necessary to restore the tooth's function and appearance.
Dental pulp diseases are conditions that affect the soft tissue inside a tooth, known as dental pulp. The two main types of dental pulp diseases are pulpitis and apical periodontitis.
Pulpitis is inflammation of the dental pulp, which can be either reversible or irreversible. Reversible pulpitis is characterized by mild to moderate inflammation that can be treated with a dental filling or other conservative treatment. Irreversible pulpitis, on the other hand, involves severe inflammation that cannot be reversed and usually requires root canal therapy.
Apical periodontitis, also known as a tooth abscess, is an infection of the tissue surrounding the tip of the tooth's root. It occurs when the dental pulp dies and becomes infected, causing pus to accumulate in the surrounding bone. Symptoms of apical periodontitis may include pain, swelling, and drainage. Treatment typically involves root canal therapy or extraction of the affected tooth.
Other dental pulp diseases include pulp calcification, which is the hardening of the dental pulp due to age or injury, and internal resorption, which is the breakdown and destruction of the dental pulp by the body's own cells. These conditions may not cause any symptoms but can weaken the tooth and increase the risk of fracture.
The post and core technique is a dental restorative procedure that involves the use of a post made of metal or other materials, which is placed inside the root canal of a severely damaged tooth, to provide support and retention for a dental core. The dental core is then built up using various materials such as composite resin, glass ionomer cement, or amalgam, to restore the missing portion of the tooth structure. This technique is often used as a foundation for a dental crown in cases where there is not enough remaining tooth structure to support the crown on its own. The post and core restoration helps to reinforce the tooth, prevent fractures, and improve the overall functionality and esthetics of the restored tooth.
I'm sorry for any confusion, but "oxides" is not a term that has a specific medical definition. Oxides are a class of chemical compounds that contain at least one oxygen atom and one other element. They can be formed through the process of oxidation, which involves the combination of oxygen with another substance.
In a broader sense, you might encounter the term "oxide" in a medical context when discussing various materials or substances used in medical devices, treatments, or research. For instance, titanium dioxide is a common ingredient in medical-grade sunscreens due to its ability to block and scatter UV light. However, it's important to note that the term "oxides" itself doesn't have a direct connection to medicine or human health.
A bicuspid valve, also known as a mitral valve in the heart, is a heart valve that has two leaflets or cusps. It lies between the left atrium and the left ventricle and helps to regulate blood flow between these two chambers of the heart. In a healthy heart, the bicuspid valve opens to allow blood to flow from the left atrium into the left ventricle and closes tightly to prevent blood from flowing back into the left atrium during contraction of the ventricle.
A congenital heart defect known as a bicuspid aortic valve occurs when the aortic valve, which normally has three leaflets or cusps, only has two. This can lead to narrowing of the valve (aortic stenosis) or leakage of the valve (aortic regurgitation), which can cause symptoms and may require medical treatment.