Papers by Sheila Leite PINTO
Revista de Odontologia da UNESP, 2016
Introduction Cervical preflaring is an important step of the canal system instrumentation, but ca... more Introduction Cervical preflaring is an important step of the canal system instrumentation, but can lead to excessive enlargement or root perforation. Objective Evaluate the remaining dentin thickness in the mandibular molars of mesial roots using cone beam computed tomography: Gates-Glidden (crown-down); Gates-Glidden (step-back); LA Axxess and Easy Pro-Design. Material and method Were selected 40 lower molars mesial roots, which were scanned in a cone beam CT scanner before and after preparation. Were obtained five sections of the CT images with an interval of 1 mm from the furcation, and measured the thickness variation between the root canal to the root external portion in analysis software. Result The evaluation of the different levels showed no significance within the same group for the Gates-Glidden group. On the other hand, were observed difference for LA Axxess (p=0.002) and Easy Pro-Design (p=0.005). In the intergroup analysis, were observed difference in all levels, especi...
The internal anatomy of danger zone of mandibular molars: A cone-beam computed tomography study
Journal of Conservative Dentistry
A b s t r a c t Aim: The aim of this study was the assessment of the anatomical thickness of dang... more A b s t r a c t Aim: The aim of this study was the assessment of the anatomical thickness of danger zone in the cervical third of mesial canals of mandibular molars. Materials and Methods: Fifty mandibular molars were selected and scanned with cone‑beam computed tomography. Data were compared using a length tool provided by scanner software. The measured areas were the mesial and distal walls of the cervical third of the mesial roots, which correspond to the safety and danger zones, respectively. In addition, dentin thickness at the furcation was evaluated. Results: Dentin thicknesses of the safety zone were higher than in the danger zone in all teeth examined. The thinnest dentin of the safety zone was found at a point located 4 mm below the canal orifice, with a mean value of 1.03 mm; conversely, in the danger zone, the thinnest point was located 3 mm below the orifice, with a mean value of 0.81 mm. As for the distance from the pulp chamber floor to the furcation, the average value was 2.23 mm. Conclusion: These results show that mean thicknesses at the danger zone of mandibular molar mesial roots were <1.0 mm. These data reinforce the importance of understanding anatomy and the need for conservative preparations when assessing and instrumenting these root canals.
Introduction: Cervical preflaring is an important step of the canal system instrumentation, but c... more Introduction: Cervical preflaring is an important step of the canal system instrumentation, but can lead to excessive enlargement or root perforation. Objective: Evaluate the remaining dentin thickness in the mandibular molars of mesial roots using cone beam computed tomography: Gates-Glidden (crown-down); Gates-Glidden (step-back); LA Axxess and Easy Pro-Design. Material and method: Were selected 40 lower molars mesial roots, which were scanned in a cone beam CT scanner before and after preparation. Were obtained five sections of the CT images with an interval of 1 mm from the furcation, and measured the thickness variation between the root canal to the root external portion in analysis software. Result: The evaluation of the different levels showed no significance within the same group for the Gates-Glidden group. On the other hand, were observed difference for LA Axxess (p=0.002) and Easy Pro-Design (p=0.005). In the intergroup analysis, were observed difference in all levels, especially for Gates-Glidden in the ascendant order (ANOVA and Tukey). Conclusion: Within the limitations of these study, is possible to conclude that the protocol with greater wear in the cervical risk area was the Gates-Glidden in step-back sequence, as the other groups were equivalent (p>0.05).
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Papers by Sheila Leite PINTO