Dental Poster Journal


Irrigation of Root Canal: Efficacy of a New LASER Technique [ PIPS ]

Anil Dhingra, Anjali Miglani, Harkanwal Kaur Bhullar, Saurabh
[Year:2014] [Month:March-April] [Volume:3 ] [Number:2] [Pages No:79] [No. of Hits: 1264]

Cleaning and disinfection, the greatest challenge in endodontics. Photon induced photoacoustic streaming [ PIPS] – available only with Fontona lasers is a revolutionary method for cleaning and debriding the root canal system using Er:YAG laser energy at sub-ablative power levels. The containment of the shockwaves thoroughly streams the solutions through the entire canal system, enhancing their effectiveness. The canals and subcanals are left clean and the dentinal tubules are free of smear layer. Moreover, with the trend toward more conservative canal preparation and single instrumentation techniques, canal disinfection with an irrigating needle that cannot deliver sufficient volume to the canal terminus, PIPS seems likely to remove the gross canal enlargement impediment. The fact that the PIPS photoacoustic effect does not create thermal damage and will travel 3-dimensionally wherever there is fluid, makes it advantageous as a treatment modality for removing biofilms . Thus an “Entire new standard of care is becoming a reality”.


Clinical outcomes of revision of root canals

Anil Dhingra, Panna Mangat, Sahil Rohilla, Deepika Parimoo
[Year:2014] [Month:March-April] [Volume:3 ] [Number:2] [Pages No:80] [No. of Hits: 1255]

This poster aims to present the outcome of non – surgical root canal treatment. A review of literature on the methodology and approaches available to assess root canal retreatment outcome are analysed. Strategy for prediction of the prognosis following root canal retreatment and retreatment protocols in the literature are discussed.


Working Width in Endodontics

Anil Dhingra, Sahil Rohilla
[Year:2014] [Month:March-April] [Volume:3 ] [Number:2] [Pages No:81] [No. of Hits: 3505]

Root canal morphology is a critically important part of conventional and surgical endodontics (root canal therapy). Many studies have recorded the scales and average sizes of root canals, but there have been few clinical attempts to determine the working width. In the absence of such that defines the original width and optimally prepared horizontal dimensions of canals, clinicians are making treatment decision without any support of scientific evidence. Most of the research for the root canal instrumentation has not addressed the importance of the horizontal dimensions or working width of the root canal system. In preparing, the long oval or flat canals, the working width concept plays a more critical role that alerts the operator to the possibilities of incomplete root canal preparation. There has been minimal development of concepts, techniques, and technology to measure working width accurately or properly Understanding the current concepts and techniques of working width can help to solidify the concepts & improve techniques of cleaning and shaping of the root canal system. The perspectives on the current concepts and techniques to handle working width -the horizontal dimension of the root canal system and its clinical implications are much needed.


Vital Pulp Therapy and Deep Caries

Anil Dhingra, Anjali Miglani, Gaurav Bhardwaj, Amteshwar Singh
[Year:2014] [Month:March-April] [Volume:3 ] [Number:2] [Pages No:82] [No. of Hits: 1371]

Today the biological perception of vital pulp therapy associated with deep caries takes into account the treatment and evaluation of the unexposed pulp with the maintenance of a dentine barrier toward the pulp; and the exposed pulp. Traditionally, the indication for the treatment of deep caries has been the same, but the excavation procedures aiming to avoid pulp exposure has been chosen or more pulp invasive treatments such as pulp capping or pulpotomy. There is a treatment variation for patients having a deep caries lesion, which is not optimal. We choose partial or complete caries excavation or we select pulp capping or pulpectomy in adults? The poster aims to discuss the status of vital pulp therapy and deep caries in adults.


A Comparative evaluation of Path files, safe siders Vs Stainless steel instruments in creation of glide path in maintenance of canal curvatures in simulated root canals

Anil Dhingra, Panna Mangat, Sagarika Munni, Gaurav Bhardwaj
[Year:2014] [Month:March-April] [Volume:3 ] [Number:2] [Pages No:83] [No. of Hits: 1231]

Successful root canal treatment is dependent on effective debridement and shaping of the root canal system. The lack of glide path establishment and enlargement is often the cause of ledge formation, transportation, blockage of root canals followed by obturation short of the apical constricture. The aim of this study was to compare the changes in the root canal anatomy after creation of glide path in mandibular first molars using two different NiTi rotary instruments with stainless steel instruments. This study compared the root canal curvature, working time, centric ability, apical transportation, root canal cross-sectional area and canal volume after creation of glide path using Path Files (PF) and V Glide Path 2 (VGP2) with stainless steel instruments using Cone Beam Computed Tomography (CBCT). CBCT images were obtained before and after instrumentation at 90µhigh resolution dental mode. The technical outcomes were compared at 0, 1, 2, 3, 5 and 7mm intervals. The results were statistically analyzed using t-test and Chi-square test. There was a statistical difference between the root canal curvatures and working time between the two groups (P < 0.05). Canals transported towards the distal side in Group II but there was a slight mesial transportation in group I at 0mm. Group I exhibited a better centric ability except at 1mm interval (P > 0.05). The changes in the volume were statistically significant only at 2mm interval (P < 0.05). The difference in the cross sectional area was not statistically significant at any interval (P > 0.05).