Nahid Akhlaghi - Independent Researcher (original) (raw)
Papers by Nahid Akhlaghi
Iranian endodontic journal, Dec 24, 2013
Bacteria and their byproducts are major etiologic factors in endodontic diseases. Prevention or r... more Bacteria and their byproducts are major etiologic factors in endodontic diseases. Prevention or reduction of root canal bacterial contamination is the main aim of endodontic treatment. The purpose of this in vitro study was to evaluate the effect of size and taper of master apical file (MAF) in reducing bacteria from the apical third of the curved canals using a quantitative scanning electron microscope (SEM) study. Eighty-nine human mandibular first molars with curved MB canals (20(º)-35(º)) were divided into one control group (n=5) (without rotary instrumentation) and 6 experimental groups (n=14). The canals were prepared using RaCe rotary files to the MAF sizes 25/0.04, 25/0.06, 30/0.04, 30/0.06, 35/0.04 and 35/0.06, in groups 1 to 6, respectively. All the experimental groups were finally rinsed with 2 mL of 17% EDTA followed by 3 mL of 5.25% NaOCl. The mesial roots were split longitudinally. Remaining bacteria in the apical third of MB canals were evaluated using SEM (2000×). Da...
Objective: Canal preparation generates a substantial amount of debris and smear layer (SL). The s... more Objective: Canal preparation generates a substantial amount of debris and smear layer (SL). The size and taper of the Master Apical File (MAF) affects on penetration of irrigants and subsequently canal cleaning efficacy. The aim of this study was to evaluate the effect of MAF size and taper on penetration of irrigants to the apical third of curved mesiobuccal (MB) canals of mandib-ular first molars. Materials and Methods: Eighty-nine human mandibular first molars were divided into one control group (n=5) without rotary instrumentation and 6 experimental groups (n=14 each) that were prepared with the following RaCe rotary files as MAF: 25.04 (group1), 25.06 (group 2), 30.04 (group 3), 30.06 (group 4), 35.04 (group 5) and 35.06 (group 6). All the experimental groups were rinsed with 2 ml of 17 % EDTA followed by 2 ml of 5.25% NaOCl. Debridement of the MB canals was evaluated using scanning electron microscope (SEM). The data were statistically analyzed using Kruskal-Wallis and Mann-Wh...
Iranian endodontic journal, 2013
For many years, gutta-percha has been the root canal filling material of choice. Chloroform is on... more For many years, gutta-percha has been the root canal filling material of choice. Chloroform is one of the most efficient solvents widely used for gutta-percha removal in retreatment cases, despite being toxic and carcinogenic. The present case report discusses a chloroform extrusion through an existing perforation to the surrounding periodontal ligament space and subsequent necrosis in supporting bone and tissues, during an endodontic retreatment visit for an addicted patient. Subsequently, the management and preventive options are reviewed.
INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of ... more INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTaper rotary files in curved resin blocks. MATERIALS AND METHODS: Twenty-four resin blocks were used in this experimental study and randomly divided into two groups. Their initial images were scanned. After preparation, their images were scanned again in the same position. Pre and post preparation images were
INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration a... more INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration after the use of nickel-titanium (Ni-Ti) or stainless-steel spreaders in curved resin blocks. MATERIALS AND METHODS: Forty resin blocks with 30º and 45º curvatures (20 blocks for each) were prepared and #30 master cones were placed in canals. In part one, under 20 Newton
INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the po... more INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the post-preparation smear layer and debris produced in apical third of curved molar root canals. MATERIALS AND METHODS: Forty extracted human maxillary first molars with curved mesiobuccal canals (30˚-35˚), similar root lengths and morphologies were divided into 3
Iranian endodontic journal, Mar 1, 2012
Understanding the internal anatomy of root canal system can significantly influence outcomes of r... more Understanding the internal anatomy of root canal system can significantly influence outcomes of root canal treatment. The aim of this in vitro study was to measure the thickness of mesiobuccal root at different levels in maxillary first molars. In this cross-sectional study, forty extracted human maxillary first molars were radiographed; accordingly, the mesial and distal root thicknesses of mesiobuccal (MB) roots were measured at four parallel horizontal levels. The samples were sectioned at the measured levels and then sections were scanned and saved in the computer. Buccal (B), Palatal (P), Mesial (M) and Distal (D) aspects of root thicknesses in single-canalled roots were measured. In two-canalled mesiobuccal roots, Distobuccal (DB) and Distopalatal (DP) aspects were evaluated alongside other measurements. Average radicular thickness in each aspect and each level was compared using ANOVA and t-test. A total of 25 had two canals and 15 had one canal in MB root. In single-canalled...
Iranian endodontic journal, Apr 2, 2008
The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTape... more The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTaper rotary files in curved resin blocks. Twenty-four resin blocks were used in this experimental study and randomly divided into two groups. Their initial images were scanned. After preparation, their images were scanned again in the same position. Pre and post preparation images were superimposed by Photoshop software and the removed resin was measured in 5 different points, and then analyzed statistically by ANOVA and t-test. At O point (orifice), significantly (p<0.05) more outer canal wall was removed in the ProTaper group than in the K3 group. There was no significant difference at any other points of outer wall. Removed material of inner canal wall was not significantly different between the two groups. Under the condition of this study, both systems performed acceptable preparation pattern except at the beginning of the curve.
INTRODUCTION: This study was carried out to evaluate the technical quality of root canal treatmen... more INTRODUCTION: This study was carried out to evaluate the technical quality of root canal treatment (RCT) performed by undergraduate dental students at the Islamic Azad University in Tehran, Iran. MATERIALS AND METHODS: Four-hundred records of patients who had received RCT at faculty of dentistry, between the years 2004-2006 were evaluated. For each treated tooth at least
Iranian Endodontic Journal, 2008
INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration a... more INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration after the use of nickel-titanium (Ni-Ti) or stainless-steel spreaders in curved resin blocks. MATERIALS AND METHODS: Forty resin blocks with 30º and 45º curvatures (20 blocks for each) were prepared and #30 master cones were placed in canals. In part one, under 20 Newton pressure, Ni-Ti or stainless-steel spreaders were placed alongside the master cone and their penetration was measured with a millimeter ruler. In part two, after removing the spreader, one of the accessory cones (#15, #20 or MF) was substituted in the canal and its penetration was measured. The Mann-U Whitney test was used for the final evaluation. RESULTS: In both curvatures, the penetration of Ni-Ti spreaders were significantly more than stainless-steel spreaders (p<0.005). Penetration of the first accessory cones (#15 and MF) in Ni- Ti spreader group were also significantly more than stainless-steel group (p<0.05...
Incidence, location, and type of isthmus in mandibular second molars among individuals of an Iranian population
BACKGROUND AND AIM: Isthmuses are narrow and strip shaped connections between two canals containi... more BACKGROUND AND AIM: Isthmuses are narrow and strip shaped connections between two canals containing pulpal tissue that may encompass bacteria as well. They are hardly accessible for cleaning; therefore, success and failure of root canal treatments could be affected by their presence. The present study was carried out aiming to evaluate the incidence, location, and type of isthmus in mandibular second molars (MSMs) among individuals of an Iranian population.METHODS: 80 MSMs with inclusion criteria, belonging to individuals of an Iranian population were collected and disinfected. After embedding the samples’ roots in the acrylic resin, teeth were sectioned horizontally at 2, 4, and 6 mm distances from the apices. Then they were viewed and recorded by a stereomicroscope under × 30 magnification. According to Kim classification, two endodontists recorded the number of canals, incidence, and type of the isthmuses. In cases of disagreement, a third endodontist was involved to judge on the...
BACKGROUND AND AIM : Root canal treatment, especially in curved and constricted root canals, can ... more BACKGROUND AND AIM : Root canal treatment, especially in curved and constricted root canals, can be very difficult and time consuming. Several investigations have compared the reciprocating and full sequence motions in terms of shaping ability. The purpose of the present study was to compare the root canal transportation and centering ability of RECIPROC and iRace using cone-beam computed tomography (CBCT). METHODS : Thirty-two mesiobuccal (MB) root canals of maxillary first molars with curvature ranged 25-40 degrees were selected. Pre-instrumentation CBCT images were captured at 2, 4 and 6 mm distances from the root apex. Thirty samples were randomly divided into two groups (n = 15). After root canal preparation using either iRace or RECIPROC #25, post-instrumentation CBCT images were obtained at the same levels. Two specimens served as control group. Pre- and post-CBCT images were evaluated to measure root canal transportation and centering ability. Mann-Whitney and Friedman tests...
The effect of ketorolac buccal infiltration on postoperative endodontic pain: a prospective, double-blind, randomized, controlled clinical trial
Quintessence international, 2019
OBJECTIVES The aim of the present double-blind, randomized, controlled clinical trial was to eval... more OBJECTIVES The aim of the present double-blind, randomized, controlled clinical trial was to evaluate the effect of ketorolac buccal infiltration of on postendodontic pain of patients with symptomatic irreversible pulpitis in mandibular first/second molars. METHOD AND MATERIALS Sixty patients meeting the inclusion criteria were evaluated. After receiving a standard inferior alveolar nerve block (IANB) followed by a buccal infiltration injection with lidocaine, half of the participants randomly received a supplemental buccal infiltration of 30 mg/mL ketorolac tromethamine and the other half received a buccal infiltration of normal saline adjacent to the periapical region of the tooth being treated. Afterwards, all participants received a single-visit root canal treatment. Pre- and postoperative (immediately after treatment, and at 2, 4, 6, and 24 hours) pain levels were evaluated via Heft-Parker visual analog scale (HP-VAS). Analgesic consumption was also recorded. The data were stat...
Incidence of Dentinal Crack Formation Using ProTaper Universal and WaveOne Systems in Straight and Curved Root Canals
iranian endodontic journal, 2018
Introduction: This study aimed to compare dentinal micro crack formation following root canal ins... more Introduction: This study aimed to compare dentinal micro crack formation following root canal instrumentation with ProTaper Universal (PTU) and WaveOne (WO) rotary systems in straight and curved root canals. Methods and Materials: One hundred mesiobuccal (MB) straight and curved canals of mandibular molars meeting inclusion criteria were divided into two control ( n =10) and four experimental groups ( n =20). After mounting the teeth and simulating the periodontal ligament, all the MB canals were coronally flared using Gates-Glidden drills #3 and 2 respectively. Then, in the experimental groups, the canals were instrumented with either PTU files (S x , S 1 , S 2 , F 1 , F 2 ), or Primary WO (25/0.08). Afterwards, roots were horizontally sectioned at 2, 4, and 6 mm from the apices, and evaluated under a microscope under 20× magnification. Data were analyzed with the Chi -Square and Kruskal-Wallis tests. The significance level was set at 0.05. Results: The control groups showed no cra...
Iranian Endodontic Journal, 2009
INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the po... more INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the post-preparation smear layer and debris produced in apical third of curved molar root canals. MATERIALS AND METHODS: Forty extracted human maxillary first molars with curved mesiobuccal canals (30˚-35˚), similar root lengths and morphologies were divided into 3 experimental groups (n=12) and one control group (n=4). Canals were prepared by RaCe rotary files and were treated with the following materials between each two files: Group A (control group); 5 mL of distilled water, Group B; 1 mL of 17% ethylenediamine tetra-acetic acid (EDTA) for 1 min, Group C; BioPureTM MTAD (according to the manufacturer’s instruction; 5mL for 5 min), and Group D; Glyde File Prep alternated with sodium hypochlorite (NaOCl) between each two files. Debridement of the apical third was evaluated using scanning electron microscope (SEM) (×5000). The data were statistically analyzed using the Kruskal-Wallis and Mann...
Iranian Endodontic Journal, 2008
INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of ... more INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTaper rotary files in curved resin blocks. MATERIALS AND METHODS: Twenty-four resin blocks were used in this experimental study and randomly divided into two groups. Their initial images were scanned. After preparation, their images were scanned again in the same position. Pre and post preparation images were superimposed by Photoshop software and the removed resin was measured in 5 different points, and then analyzed statistically by ANOVA and t-test. RESULTS: At O point (orifice), significantly (p<0.05) more outer canal wall was removed in the ProTaper group than in the K3 group. There was no significant difference at any other points of outer wall. Removed material of inner canal wall was not significantly different between the two groups. CONCLUSION: Under the condition of this study, both systems performed acceptable preparation pattern except at the beginning of the cu...
Iranian Endodontic Journal, 2017
Introduction: Video-assisted clinical instruction (VACID) has been found to be a beneficial teach... more Introduction: Video-assisted clinical instruction (VACID) has been found to be a beneficial teaching tool for various fields in dentistry. The aim of this interventional study was to compare the efficacy of live conventional demonstration (CD), video teaching, and VACID (video with explanation) methods in teaching of root canal treatment to undergraduate dental students. Methods and Materials: Forty-two undergraduate senior dental students participated in this study. The students experienced this course for the first time and were randomly divided into three groups (n=14). Group A attended live CD on a patient; group B watched a professionally produced demonstration video without any verbal explanation during 1 h; and finally group C watched the same video alongside live explanation by a mentor during the 1.5 h (VACID). The whole process was performed by an experienced endodontist on maxillary central incisors. All of The students carried out a multiple choice question exam to evalu...
Journal of Dentistry (Tehran, Iran), 2017
The significance of clinician’s knowledge about root canal anatomy and its possible variations ca... more The significance of clinician’s knowledge about root canal anatomy and its possible variations cannot be overlooked. In some cases, taking advantage of complementary imaging techniques can help achieve a perfect flawless endodontic treatment. This article reports endodontic management of a second maxillary molar that had an uncommon anatomy of the chamber floor. After obtaining a cone-beam computed tomography (CBCT) image, the presence of a second palatal root was confirmed. All four roots were treated and patient’s symptoms were resolved.
Radiographic and microscopic comparison of additional canal incidence in Iranian lower premolars (In Vitro)
Background & Aim: Dentist's incomplete awareness about root canal shape and anat... more Background & Aim: Dentist's incomplete awareness about root canal shape and anatomy produces serious problems in diagnosis and treatment plan which is one of the main causes of root canal therapy failures. There are many different reports about root canal numbers ...
Iranian Endodontic Journal, 2012
Introduction Understanding the internal anatomy of root canal system can significantly influence ... more Introduction Understanding the internal anatomy of root canal system can significantly influence outcomes of root canal treatment. The aim of this in vitro study was to measure the thickness of mesiobuccal root at different levels in maxillary first molars. Materials and Methods In this cross-sectional study, forty extracted human maxillary first molars were radiographed; accordingly, the mesial and distal root thicknesses of mesiobuccal (MB) roots were measured at four parallel horizontal levels. The samples were sectioned at the measured levels and then sections were scanned and saved in the computer. Buccal (B), Palatal (P), Mesial (M) and Distal (D) aspects of root thicknesses in single-canalled roots were measured. In two–canalled mesiobuccal roots, Distobuccal (DB) and Distopalatal (DP) aspects were evaluated alongside other measurements. Average radicular thickness in each aspect and each level was compared using ANOVA and t-test. Results A total of 25 had two canals and 15 h...
Iranian endodontic journal, Dec 24, 2013
Bacteria and their byproducts are major etiologic factors in endodontic diseases. Prevention or r... more Bacteria and their byproducts are major etiologic factors in endodontic diseases. Prevention or reduction of root canal bacterial contamination is the main aim of endodontic treatment. The purpose of this in vitro study was to evaluate the effect of size and taper of master apical file (MAF) in reducing bacteria from the apical third of the curved canals using a quantitative scanning electron microscope (SEM) study. Eighty-nine human mandibular first molars with curved MB canals (20(º)-35(º)) were divided into one control group (n=5) (without rotary instrumentation) and 6 experimental groups (n=14). The canals were prepared using RaCe rotary files to the MAF sizes 25/0.04, 25/0.06, 30/0.04, 30/0.06, 35/0.04 and 35/0.06, in groups 1 to 6, respectively. All the experimental groups were finally rinsed with 2 mL of 17% EDTA followed by 3 mL of 5.25% NaOCl. The mesial roots were split longitudinally. Remaining bacteria in the apical third of MB canals were evaluated using SEM (2000×). Da...
Objective: Canal preparation generates a substantial amount of debris and smear layer (SL). The s... more Objective: Canal preparation generates a substantial amount of debris and smear layer (SL). The size and taper of the Master Apical File (MAF) affects on penetration of irrigants and subsequently canal cleaning efficacy. The aim of this study was to evaluate the effect of MAF size and taper on penetration of irrigants to the apical third of curved mesiobuccal (MB) canals of mandib-ular first molars. Materials and Methods: Eighty-nine human mandibular first molars were divided into one control group (n=5) without rotary instrumentation and 6 experimental groups (n=14 each) that were prepared with the following RaCe rotary files as MAF: 25.04 (group1), 25.06 (group 2), 30.04 (group 3), 30.06 (group 4), 35.04 (group 5) and 35.06 (group 6). All the experimental groups were rinsed with 2 ml of 17 % EDTA followed by 2 ml of 5.25% NaOCl. Debridement of the MB canals was evaluated using scanning electron microscope (SEM). The data were statistically analyzed using Kruskal-Wallis and Mann-Wh...
Iranian endodontic journal, 2013
For many years, gutta-percha has been the root canal filling material of choice. Chloroform is on... more For many years, gutta-percha has been the root canal filling material of choice. Chloroform is one of the most efficient solvents widely used for gutta-percha removal in retreatment cases, despite being toxic and carcinogenic. The present case report discusses a chloroform extrusion through an existing perforation to the surrounding periodontal ligament space and subsequent necrosis in supporting bone and tissues, during an endodontic retreatment visit for an addicted patient. Subsequently, the management and preventive options are reviewed.
INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of ... more INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTaper rotary files in curved resin blocks. MATERIALS AND METHODS: Twenty-four resin blocks were used in this experimental study and randomly divided into two groups. Their initial images were scanned. After preparation, their images were scanned again in the same position. Pre and post preparation images were
INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration a... more INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration after the use of nickel-titanium (Ni-Ti) or stainless-steel spreaders in curved resin blocks. MATERIALS AND METHODS: Forty resin blocks with 30º and 45º curvatures (20 blocks for each) were prepared and #30 master cones were placed in canals. In part one, under 20 Newton
INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the po... more INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the post-preparation smear layer and debris produced in apical third of curved molar root canals. MATERIALS AND METHODS: Forty extracted human maxillary first molars with curved mesiobuccal canals (30˚-35˚), similar root lengths and morphologies were divided into 3
Iranian endodontic journal, Mar 1, 2012
Understanding the internal anatomy of root canal system can significantly influence outcomes of r... more Understanding the internal anatomy of root canal system can significantly influence outcomes of root canal treatment. The aim of this in vitro study was to measure the thickness of mesiobuccal root at different levels in maxillary first molars. In this cross-sectional study, forty extracted human maxillary first molars were radiographed; accordingly, the mesial and distal root thicknesses of mesiobuccal (MB) roots were measured at four parallel horizontal levels. The samples were sectioned at the measured levels and then sections were scanned and saved in the computer. Buccal (B), Palatal (P), Mesial (M) and Distal (D) aspects of root thicknesses in single-canalled roots were measured. In two-canalled mesiobuccal roots, Distobuccal (DB) and Distopalatal (DP) aspects were evaluated alongside other measurements. Average radicular thickness in each aspect and each level was compared using ANOVA and t-test. A total of 25 had two canals and 15 had one canal in MB root. In single-canalled...
Iranian endodontic journal, Apr 2, 2008
The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTape... more The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTaper rotary files in curved resin blocks. Twenty-four resin blocks were used in this experimental study and randomly divided into two groups. Their initial images were scanned. After preparation, their images were scanned again in the same position. Pre and post preparation images were superimposed by Photoshop software and the removed resin was measured in 5 different points, and then analyzed statistically by ANOVA and t-test. At O point (orifice), significantly (p<0.05) more outer canal wall was removed in the ProTaper group than in the K3 group. There was no significant difference at any other points of outer wall. Removed material of inner canal wall was not significantly different between the two groups. Under the condition of this study, both systems performed acceptable preparation pattern except at the beginning of the curve.
INTRODUCTION: This study was carried out to evaluate the technical quality of root canal treatmen... more INTRODUCTION: This study was carried out to evaluate the technical quality of root canal treatment (RCT) performed by undergraduate dental students at the Islamic Azad University in Tehran, Iran. MATERIALS AND METHODS: Four-hundred records of patients who had received RCT at faculty of dentistry, between the years 2004-2006 were evaluated. For each treated tooth at least
Iranian Endodontic Journal, 2008
INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration a... more INTRODUCTION: The purpose of this study was to compare first accessory gutta-percha penetration after the use of nickel-titanium (Ni-Ti) or stainless-steel spreaders in curved resin blocks. MATERIALS AND METHODS: Forty resin blocks with 30º and 45º curvatures (20 blocks for each) were prepared and #30 master cones were placed in canals. In part one, under 20 Newton pressure, Ni-Ti or stainless-steel spreaders were placed alongside the master cone and their penetration was measured with a millimeter ruler. In part two, after removing the spreader, one of the accessory cones (#15, #20 or MF) was substituted in the canal and its penetration was measured. The Mann-U Whitney test was used for the final evaluation. RESULTS: In both curvatures, the penetration of Ni-Ti spreaders were significantly more than stainless-steel spreaders (p<0.005). Penetration of the first accessory cones (#15 and MF) in Ni- Ti spreader group were also significantly more than stainless-steel group (p<0.05...
Incidence, location, and type of isthmus in mandibular second molars among individuals of an Iranian population
BACKGROUND AND AIM: Isthmuses are narrow and strip shaped connections between two canals containi... more BACKGROUND AND AIM: Isthmuses are narrow and strip shaped connections between two canals containing pulpal tissue that may encompass bacteria as well. They are hardly accessible for cleaning; therefore, success and failure of root canal treatments could be affected by their presence. The present study was carried out aiming to evaluate the incidence, location, and type of isthmus in mandibular second molars (MSMs) among individuals of an Iranian population.METHODS: 80 MSMs with inclusion criteria, belonging to individuals of an Iranian population were collected and disinfected. After embedding the samples’ roots in the acrylic resin, teeth were sectioned horizontally at 2, 4, and 6 mm distances from the apices. Then they were viewed and recorded by a stereomicroscope under × 30 magnification. According to Kim classification, two endodontists recorded the number of canals, incidence, and type of the isthmuses. In cases of disagreement, a third endodontist was involved to judge on the...
BACKGROUND AND AIM : Root canal treatment, especially in curved and constricted root canals, can ... more BACKGROUND AND AIM : Root canal treatment, especially in curved and constricted root canals, can be very difficult and time consuming. Several investigations have compared the reciprocating and full sequence motions in terms of shaping ability. The purpose of the present study was to compare the root canal transportation and centering ability of RECIPROC and iRace using cone-beam computed tomography (CBCT). METHODS : Thirty-two mesiobuccal (MB) root canals of maxillary first molars with curvature ranged 25-40 degrees were selected. Pre-instrumentation CBCT images were captured at 2, 4 and 6 mm distances from the root apex. Thirty samples were randomly divided into two groups (n = 15). After root canal preparation using either iRace or RECIPROC #25, post-instrumentation CBCT images were obtained at the same levels. Two specimens served as control group. Pre- and post-CBCT images were evaluated to measure root canal transportation and centering ability. Mann-Whitney and Friedman tests...
The effect of ketorolac buccal infiltration on postoperative endodontic pain: a prospective, double-blind, randomized, controlled clinical trial
Quintessence international, 2019
OBJECTIVES The aim of the present double-blind, randomized, controlled clinical trial was to eval... more OBJECTIVES The aim of the present double-blind, randomized, controlled clinical trial was to evaluate the effect of ketorolac buccal infiltration of on postendodontic pain of patients with symptomatic irreversible pulpitis in mandibular first/second molars. METHOD AND MATERIALS Sixty patients meeting the inclusion criteria were evaluated. After receiving a standard inferior alveolar nerve block (IANB) followed by a buccal infiltration injection with lidocaine, half of the participants randomly received a supplemental buccal infiltration of 30 mg/mL ketorolac tromethamine and the other half received a buccal infiltration of normal saline adjacent to the periapical region of the tooth being treated. Afterwards, all participants received a single-visit root canal treatment. Pre- and postoperative (immediately after treatment, and at 2, 4, 6, and 24 hours) pain levels were evaluated via Heft-Parker visual analog scale (HP-VAS). Analgesic consumption was also recorded. The data were stat...
Incidence of Dentinal Crack Formation Using ProTaper Universal and WaveOne Systems in Straight and Curved Root Canals
iranian endodontic journal, 2018
Introduction: This study aimed to compare dentinal micro crack formation following root canal ins... more Introduction: This study aimed to compare dentinal micro crack formation following root canal instrumentation with ProTaper Universal (PTU) and WaveOne (WO) rotary systems in straight and curved root canals. Methods and Materials: One hundred mesiobuccal (MB) straight and curved canals of mandibular molars meeting inclusion criteria were divided into two control ( n =10) and four experimental groups ( n =20). After mounting the teeth and simulating the periodontal ligament, all the MB canals were coronally flared using Gates-Glidden drills #3 and 2 respectively. Then, in the experimental groups, the canals were instrumented with either PTU files (S x , S 1 , S 2 , F 1 , F 2 ), or Primary WO (25/0.08). Afterwards, roots were horizontally sectioned at 2, 4, and 6 mm from the apices, and evaluated under a microscope under 20× magnification. Data were analyzed with the Chi -Square and Kruskal-Wallis tests. The significance level was set at 0.05. Results: The control groups showed no cra...
Iranian Endodontic Journal, 2009
INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the po... more INTRODUCTION: This study aimed to compare the efficacy of MTAD, Glyde and EDTA in removing the post-preparation smear layer and debris produced in apical third of curved molar root canals. MATERIALS AND METHODS: Forty extracted human maxillary first molars with curved mesiobuccal canals (30˚-35˚), similar root lengths and morphologies were divided into 3 experimental groups (n=12) and one control group (n=4). Canals were prepared by RaCe rotary files and were treated with the following materials between each two files: Group A (control group); 5 mL of distilled water, Group B; 1 mL of 17% ethylenediamine tetra-acetic acid (EDTA) for 1 min, Group C; BioPureTM MTAD (according to the manufacturer’s instruction; 5mL for 5 min), and Group D; Glyde File Prep alternated with sodium hypochlorite (NaOCl) between each two files. Debridement of the apical third was evaluated using scanning electron microscope (SEM) (×5000). The data were statistically analyzed using the Kruskal-Wallis and Mann...
Iranian Endodontic Journal, 2008
INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of ... more INTRODUCTION: The purpose of this study was to evaluate and compare canal preparation pattern of K3 and ProTaper rotary files in curved resin blocks. MATERIALS AND METHODS: Twenty-four resin blocks were used in this experimental study and randomly divided into two groups. Their initial images were scanned. After preparation, their images were scanned again in the same position. Pre and post preparation images were superimposed by Photoshop software and the removed resin was measured in 5 different points, and then analyzed statistically by ANOVA and t-test. RESULTS: At O point (orifice), significantly (p<0.05) more outer canal wall was removed in the ProTaper group than in the K3 group. There was no significant difference at any other points of outer wall. Removed material of inner canal wall was not significantly different between the two groups. CONCLUSION: Under the condition of this study, both systems performed acceptable preparation pattern except at the beginning of the cu...
Iranian Endodontic Journal, 2017
Introduction: Video-assisted clinical instruction (VACID) has been found to be a beneficial teach... more Introduction: Video-assisted clinical instruction (VACID) has been found to be a beneficial teaching tool for various fields in dentistry. The aim of this interventional study was to compare the efficacy of live conventional demonstration (CD), video teaching, and VACID (video with explanation) methods in teaching of root canal treatment to undergraduate dental students. Methods and Materials: Forty-two undergraduate senior dental students participated in this study. The students experienced this course for the first time and were randomly divided into three groups (n=14). Group A attended live CD on a patient; group B watched a professionally produced demonstration video without any verbal explanation during 1 h; and finally group C watched the same video alongside live explanation by a mentor during the 1.5 h (VACID). The whole process was performed by an experienced endodontist on maxillary central incisors. All of The students carried out a multiple choice question exam to evalu...
Journal of Dentistry (Tehran, Iran), 2017
The significance of clinician’s knowledge about root canal anatomy and its possible variations ca... more The significance of clinician’s knowledge about root canal anatomy and its possible variations cannot be overlooked. In some cases, taking advantage of complementary imaging techniques can help achieve a perfect flawless endodontic treatment. This article reports endodontic management of a second maxillary molar that had an uncommon anatomy of the chamber floor. After obtaining a cone-beam computed tomography (CBCT) image, the presence of a second palatal root was confirmed. All four roots were treated and patient’s symptoms were resolved.
Radiographic and microscopic comparison of additional canal incidence in Iranian lower premolars (In Vitro)
Background & Aim: Dentist's incomplete awareness about root canal shape and anat... more Background & Aim: Dentist's incomplete awareness about root canal shape and anatomy produces serious problems in diagnosis and treatment plan which is one of the main causes of root canal therapy failures. There are many different reports about root canal numbers ...
Iranian Endodontic Journal, 2012
Introduction Understanding the internal anatomy of root canal system can significantly influence ... more Introduction Understanding the internal anatomy of root canal system can significantly influence outcomes of root canal treatment. The aim of this in vitro study was to measure the thickness of mesiobuccal root at different levels in maxillary first molars. Materials and Methods In this cross-sectional study, forty extracted human maxillary first molars were radiographed; accordingly, the mesial and distal root thicknesses of mesiobuccal (MB) roots were measured at four parallel horizontal levels. The samples were sectioned at the measured levels and then sections were scanned and saved in the computer. Buccal (B), Palatal (P), Mesial (M) and Distal (D) aspects of root thicknesses in single-canalled roots were measured. In two–canalled mesiobuccal roots, Distobuccal (DB) and Distopalatal (DP) aspects were evaluated alongside other measurements. Average radicular thickness in each aspect and each level was compared using ANOVA and t-test. Results A total of 25 had two canals and 15 h...