OBJECTIVETo investigate the influence of bleaching technique on vital tooth pulp.

METHODSA total of 40 vital teeth extracted for orthodontics were selected, of which, 10 teeth without any treatment served as control, 15 teeth were extracted instantly after bleaching and 15 teeth were extracted 7 days after bleaching. Slides were made from all these three groups and subject to pathological examination under microscope.

RESULTSNo clinical symptoms were found in all the teeth before and after bleaching. All teeth in the three groups showed normal pulp on pathological examination.

CONCLUSIONSBleaching did not affect vital tooth pulp and is a safe technique.

Dental Pulp ; pathology ; Humans ; Tooth Bleaching ; methods

Bicuspid ; Dental Pulp Cavity ; pathology ; Humans ; Mandible ; Root Canal Therapy

Dental Pulp Cavity ; abnormalities ; pathology ; Humans ; Root Canal Therapy ; methods

Carious lesions are bacteria-caused destructions of the mineralised dental tissues, marked by the simultaneous activation of immune responses and regenerative events within the soft dental pulp tissue. While major molecular players in tooth decay have been uncovered during the past years, a detailed map of the molecular and cellular landscape of the diseased pulp is still missing. In this study we used single-cell RNA sequencing analysis, supplemented with immunostaining, to generate a comprehensive single-cell atlas of the pulp of carious human teeth. Our data demonstrated modifications in the various cell clusters within the pulp of carious teeth, such as immune cells, mesenchymal stem cells (MSC) and fibroblasts, when compared to the pulp of healthy human teeth. Active immune response in the carious pulp tissue is accompanied by specific changes in the fibroblast and MSC clusters. These changes include the upregulation of genes encoding extracellular matrix (ECM) components, including COL1A1 and Fibronectin (FN1), and the enrichment of the fibroblast cluster with myofibroblasts. The incremental changes in the ECM composition of carious pulp tissues were further confirmed by immunostaining analyses. Assessment of the Fibronectin fibres under mechanical strain conditions showed a significant tension reduction in carious pulp tissues, compared to the healthy ones. The present data demonstrate molecular, cellular and biomechanical alterations in the pulp of human carious teeth, indicative of extensive ECM remodelling, reminiscent of fibrosis observed in other organs. This comprehensive atlas of carious human teeth can facilitate future studies of dental pathologies and enable comparative analyses across diseased organs.
Humans ; Dental Pulp ; Fibronectins ; Extracellular Matrix/pathology* ; Dental Caries ; Sequence Analysis, RNA

Dens invaginatus is a rare developmental anomaly of the teeth that is caused by the infolding of enamel organs or the penetration of their proliferations into dental papillae before calcification has occurred. The presence of double dens invaginatus is extremely rare. This paper describes the use of cone beam computed tomography in the evaluation of a maxillary lateral incisor with double dens invaginatus and periapical periodontitis. The tooth was treated through microscopic root canal therapy. The tooth was free of clinical symptoms, and the periradicular lesion narrowed during the follow-up period of 1 year.
Humans ; Dental Pulp Cavity/abnormalities* ; Dens in Dente/pathology* ; Incisor/pathology* ; Root Canal Therapy ; Periapical Periodontitis/pathology*

Three-dimensional (3D) reconstruction of cone-beam computed tomography (CBCT) scans appears to be a valuable method for assessing pulp canal configuration. The aim of this report is to describe endodontic treatment of a mandibular second premolar with aberrant pulp canal morphology detected by CBCT and confirmed by 3D modeling. An accessory canal was suspected during endodontic treatment of the mandibular left second premolar in a 21 year-old woman with a chief complaint of pulsating pain. Axial cross-sectional CBCT scans revealed that the pulp canal divided into mesiobuccal, lingual, and buccal canals in the middle third and ended as four separate foramina. 3D modeling confirmed the anomalous configuration of the fused root with a deep lingual groove. Endodontic treatment of the tooth was completed in two appointments. The root canals were obturated using lateral compaction of gutta-percha and root canal sealer. The tooth remained asymptomatic and did not develop periapical pathology until 12 months postoperatively. CBCT and 3D modeling enable preoperative evaluation of aberrant root canal systems and facilitate endodontic treatment.
Appointments and Schedules ; Bicuspid ; Cone-Beam Computed Tomography* ; Dental Pulp Cavity* ; Female ; Gutta-Percha ; Humans ; Pathology ; Tooth

Three-dimensional (3D) reconstruction of cone-beam computed tomography (CBCT) scans appears to be a valuable method for assessing pulp canal configuration. The aim of this report is to describe endodontic treatment of a mandibular second premolar with aberrant pulp canal morphology detected by CBCT and confirmed by 3D modeling. An accessory canal was suspected during endodontic treatment of the mandibular left second premolar in a 21 year-old woman with a chief complaint of pulsating pain. Axial cross-sectional CBCT scans revealed that the pulp canal divided into mesiobuccal, lingual, and buccal canals in the middle third and ended as four separate foramina. 3D modeling confirmed the anomalous configuration of the fused root with a deep lingual groove. Endodontic treatment of the tooth was completed in two appointments. The root canals were obturated using lateral compaction of gutta-percha and root canal sealer. The tooth remained asymptomatic and did not develop periapical pathology until 12 months postoperatively. CBCT and 3D modeling enable preoperative evaluation of aberrant root canal systems and facilitate endodontic treatment.
Appointments and Schedules ; Bicuspid ; Cone-Beam Computed Tomography* ; Dental Pulp Cavity* ; Female ; Gutta-Percha ; Humans ; Pathology ; Tooth

Dental Pulp Cavity ; diagnostic imaging ; pathology ; Humans ; Radiography ; Root Canal Therapy

OBJECTIVETo observe the histological and immunohistochemical characteristics of the pulp of teeth after pulpotomy.

METHODSTwenty-nine permanent anterior teeth with completely formed roots after pulpotomy due to dental trauma were selected. Thirty permanent premolars with completely formed roots served as control, which were extracted for orthodontic treatment. HE stain and immunohistochemical study of collagen I and collagen III were performed on the root pulp of these two groups.

RESULTSThere were degenerative changes in root pulp of the teeth after pulpotomy, such as vacuolization and homogenization of the odontoblasts, cell reduction, fibrosis, hyaline degeneration and calcification. In healthy root pulp, collagen I had a dispersed distribution, calcification substance was stained positive, but collagen III weakly stained in the extreme at peripheric pulp, and calcification substance stained negative. While in pulp of teeth after pulpotomy, both types of collagens had increased expression, fibers aggregated forming thick fiber bundles. In the wall of blood vessels collagen I had increased expression, but collagen III decreased.

CONCLUSIONSThe root pulp below dentin bridge after pulpotomy was different from the healthy pulp, and there were some histological degenerative changes in the pulp of the immature anterior teeth after pulpotomy. It is suggested that root canal treatment should eventually be performed on these teeth.

Child ; Collagen ; metabolism ; Dental Pulp ; metabolism ; pathology ; Female ; Humans ; Immunohistochemistry ; Male ; Pulpotomy ; Staining and Labeling

OBJECTIVETo investigate the resistance to cyclic fatigue of maxillary incisors with flared canals restored with different post-and-core materials.

METHODSThirty human maxillary central incisors were assigned randomly to two main groups (non-ferrule and 1-mm ferrule) of 15. Each main group was then divided into 3 groups of 5 specimens and restored with custom cast post-and-core (MPC), resin composite post-and-core (RCP), and resin composite core combined with prefabricated carbon fiber post (FRC), respectively. Every group was subjected to a cyclic fatigue test, and recorded the numbers of load cycles that occurred tooth fracture. All data were analyzed with two-way ANOVA and the Tukey HSD test at alpha = 0.05.

RESULTSFRC revealed significantly higher fatigue strength than the other groups (P < 0.05). Preparing a dentin ferrule increased significantly fatigue resistance (P < 0.05). The favorable (retrieval) fracture pattern of the tested specimens was discovered only in RCP.

CONCLUSIONSUsing FRC may get a long fatigue life in restoring pulpless teeth with flared canals. Dentin ferrule preparation is necessary to enhance resistance of the restorations to cyclic fatigue.

Carbon ; Chromium Alloys ; Composite Resins ; Dental Materials ; Dental Pulp Cavity ; pathology ; Humans ; Materials Testing ; Post and Core Technique ; Tooth, Nonvital ; therapy