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International Endodontic Journal
Article . 2020 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
https://dx.doi.org/10.5167/uzh...
Other literature type . 2021
Data sources: Datacite
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Contrast‐enhanced micro‐CT to assess dental pulp tissue debridement in root canals of extracted teeth: a series of cascading experiments towards method validation

Authors: De-Deus, G; Belladonna, F G; Cavalcante, D M; Simões-Carvalho, M; Silva, E J N L; Carvalhal, J C A; Zamolyi, R Q; +4 Authors

Contrast‐enhanced micro‐CT to assess dental pulp tissue debridement in root canals of extracted teeth: a series of cascading experiments towards method validation

Abstract

AbstractAimTo validate a new method for the evaluation of pulp tissue debridement in the root canals of extracted teeth using an impregnation protocol involving potassium triiodide, a radiocontrast solution known as Lugol’s, combined with micro‐computed tomographic (micro‐CT) imaging.MethodologyThe impact of NaOCl on the radiopacity of Lugol’s solution was assessed using a two‐fold dilution series of Lugol in distilled water and 5.25% NaOCl, which were then pipetted into transparent dishes and radiographed. To verify the influence of Lugol on the proteolytic effect of NaOCl, a dissolution test was performed using fresh bovine meat. Ten slices did not undergo any tissue processing, whilst twenty slices were fixed in formaldehyde for 24 h. After that, 10 of them were immersed in Lugol for another 24 h. Then, all specimens were placed in NaOCl and the time required for a complete tissue dissolution was recorded. For the last experiments (histological validation and micro‐CT assessment), 8 extracted mandibular premolars with formerly vital pulps were immersed in buffered formalin, scanned in a micro‐CT device, accessed, immersed in Lugol for 7 days and scanned again. Then, the root canals of 5 teeth were prepared and scanned, and the volume of remaining pulp tissue identified and quantified, whilst 3 teeth were histologically processed. The same specimens were subjected to histological assessment, and the images of the histologic sections were registered with the corresponding micro‐CT images to verify whether the pulp tissue in the histological sections matched its counterpart in the Lugol‐impregnated tissues identified in the micro‐CT slices.ResultsThere was no discernible effect on radiopacity when NaOCl was mixed with Lugol’s solution. Tissue processing did not affect the time required for the complete dissolution of fresh bovine meat. Histological evaluation revealed a correlation between micro‐CT and histological images confirming the identification of Lugol‐impregnated pulp tissue in micro‐CT images.ConclusionsThe radiocontrast Lugol’s solution was unaffected by NaOCl and did not interfere with its soft tissue dissolution capability. The impregnation protocol using Lugol’s solution allowed the visualization of pulp tissue on the micro‐CT images and the identification of pulp remnants after chemical–mechanical canal procedures.

Country
Switzerland
Keywords

Debridement, 10066 Clinic of Conservative and Preventive Dentistry, Animals, 610 Medicine & health, Cattle, X-Ray Microtomography, Dental Pulp Cavity, 3500 General Dentistry, Dental Pulp, Root Canal Preparation

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    17
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    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
17
Top 10%
Average
Top 10%
Green
bronze