Dental Pulp Diseases ; diagnosis ; therapy ; Humans ; Root Canal Therapy

Objective:To study the anatomy of the maxillary first permanent molars. Methods:Macrography was used to observe the morphology of the mesiobuccal root,the degree of abrasion,the morphology of the floor of pulp cavity, the number and type of apical foramen.Vernier was used to measure the length indexes and the distance from the apical foramen to the tip of the root.Clearing technique was used to investigate the root canal systems. Results:26.9% of mesiobuccal root had type III apical foramen,56.25% of mesiobuccal root had two canals,7.5% teeth had three root canals. Conclusions: The maxillary first permanent molar has a high ratio of more than one root canal in mesiobuccal root(63.75%).

Pulpitis and periapical periodontitis is a type of bacterial infectious disease, and bacteria frequently plant in the entire root canal system during the terminal stage. Main clinical treatment strategy of the disease requires root canal therapy, a key and core procedure for the successful treatment by thoroughly removing the root canal infection. The premise and guarantee of thoroughly removing root canal infection is by determining the accurate root canal working length. However, introduction of the complexity of the apical root anatomical structure, the confusion in determining the position of apical stop, and the method to determine the root canal working length. methods of accurately determining root canal working length, especially determining the position of apical stop, has been a hot topic among endodontic specialists, frequently causing confusion among many clinicians. This review provides a brief
Dental Pulp Cavity ; Periapical Periodontitis ; Pulpitis ; Root Canal Preparation ; Root Canal Therapy ; Tooth Root

Objective:To discuss the effect of radiation of Nd:YAG laser in apical retrograde filling. Methods: 50 similar roots were randomly divided into 5 groups.The anatomical crowns were removed at the cementoenamel junction and the remaining roots were treated endodontically with conventional methods before the apical 2 mm were cut and a dish-like hole made in the cutting surface by high speed round bur. Except the first group,each hole were radiated by the Nd:YAG laser for different time or with different patterns and after that,the glass ionomer cement were retrofilled into the hole. A microleakage measurements were carried out and the result were measured and recorded. The hole surface was also observed under electron microscopy. Results:The leakage of the groups with Nd:YAG radiation were decreased significantly(P

0.05 ). The assessments of the 4 examiners were uniform(?=0.57~0.65).Conclusion:Radiograph can provide essential evidence for the clinical diagnosis of the vertical root fracture in mandibular first molar.

OBJECTIVETo investigate the prevalence and treatment of radix entomolaris (RE) in mandibular first molars.

METHODS378 cases of mandibular first molars with root canal therapy were collected. The case included clinical records and periapical radiographs of preoperative, intraoperative and postoperative. The root number, root canal number and root canal therapy were investigated.

RESULTSThe RE prevalence of mandibular first molars was 26.98% (102/378). Both gender and bilateral occurrence of RE did not show a significantly difference (P>0.05), but there was a significantly greater incidence of instrument separation, lateral perforation and underfill of the root canals in RE than other canals in mandibular first molars (P<0.05).

CONCLUSIONThe RE prevalence of mandibular first molar is high and there is a significantly greater incidence of instrument separation, lateral perforation and underfill of the canals in RE than other canals in mandibular first molars.

OBJECTIVETo assess referral cases for root canal therapy to provide clinical evidence with establishment of referral system.

METHODSA questionnaire was designed to collect 312 cases (355 teeth) referred to Department of Conservative Dentistry and Endodontics, West China School of Stomatology, Sichuan University for root canal therapy from April to June in 2011. The questionnaire consisted of questions such as age, gender, occupation, general disease and medical histories of patients, sources. Difficulty of treatment before therapy and reasons for referral were evaluated.

RESULTSIn 355 referral teeth, the most were mandibular first molars (17%), the greatest percentage of reasons were calcified root canals (30%), the second was root canal retreatment (24%). 72% of teeth belong to the complicated difficulty (Class III), while 7% were listed as the uncomplicated difficulty (Class I). No significantly difference from different sources was found (P = 0.9).

CONCLUSIONEstablishment of referral system needs cooperation with every dentist. Difficulty of cases for root canal therapy before treatment should be first evaluated to treat or to refer. Referral cases for root canal therapy should be treated by endodontist of corresponding level according to the difficulty.

Objective:To explore the method of measuring the intensity of pressure on dermal scars.Methods:The testing inductor to taste intensity of pressure (being forced by such as elastic bandages enswathements ,etc.) was by way of the pressing transducer.The pressure signal (degree mv) of the transducer was magnified and transferred to tiny controls where A/D switch happened.All of processions were accomplished by soft wares of C language and results were displayed by LED.Results and Conclusions:The apparatus can measure the intensity of pressure basing on different intensities (such as kgf/cm2 or mmHg or kPa,etc).The results were credible and the operations were simple.

Objective:To evaluate the clinical efficacy of warm acupuncture combined with external application of Tibetan medicine Baimai Ointment in the treatment of low-back pain with cold-dampness type.Methods:Randomized controlled trial. Totally 60 outpatients in Tibetan Medicine Hospital of Cuona County from May to July of 2021 were selected as the observation objects, and they were divided into two groups by random number table method, with 30 cases in each group. The control group was treated with Baimai Ointment, and the treatment group was treated with warm acupuncture and Baimai Ointment. Both groups were treated for 2 weeks and followed up for 3 months. VAS scale and Oswestry disability index (ODI) were used to evaluate the low-back pain and dysfunction, and the clinical efficacy was evaluated.Results:The VAS scores of the treatment group were lower than those in the control group immediately after treatment and at the last follow-up ( t=-18.17, -6.05, P<0.01). The ODI score of the treatment group was lower than that of the control group at the last follow-up ( t=-15.86, P<0.01). The total effective rate was 96.7% (29/30) in the treatment group and 93.3% (28/30) in the control group, without statistical significance ( χ2=0.001, P=1.000). Conclusion:Warm acupuncture combined with Tibetan medicine Baimai Ointment can effectively improve the clinical symptoms of low-back pain with cold-dampness type, improve the quality of life of patients, and the clinical effect is satisfactory.

BACKGROUNDTo maximize the preservation of functional pulmonary parenchyma and improve the quality of life of patients with centrally located lung cancer, trachea-bronchoplasty has been used in clinical application with good efficacy. The aim of this study is to explore the appropriate admission and management of trachea-bronchoplasty and prevent complications of trachea-bronchial sleeve resection in the treatment of centrally located lung cancer.

METHODSSeventy-six patients with central lung cancer, who were treated with trachea-bronchoplasty from June, 1988 to October, 2004, were analyzed. There were 49 cases of squamous cell carcinoma, 16 adenocarcinoma, 7 adenosquamous carcinoma, 3 small cell lung cancer and 1 adenoid cystic adenocarcinoma. Seventeen patients were in stage I, 39 in stage II, 17 in stage IIIA and 3 in stage IIIB. There were 55 cases of sleeve lobectomy, 12 lobectomy with wedge resection of the main bronchus, 8 big arc resection of superior lobar bronchus-main trachea-lateral wall of trachea, 1 resection of right upper lobe-right main bronchus-carina-lateral trachea and carinal reconstruction.

RESULTSPostoperative complications happened in 7 patients. Pneumonia and atelectasis occurred in 6 cases, in which 1 died of heart and respiratory failure. Another one died of haemorrhage of upside alimentary canal. Seventy-one patients were followed up (93.4%). The 1-, 3-, 5-year survival rate was 82.4% (56/68), 57.8% (26/45) and 41.7% (15/36) respectively.

CONCLUSIONSThe trachea-bronchoplasty can not only preserve functional pulmonary parenchyma as much as possible and improve the quality of life of patients, but also provide an operative opportunity to those patients with poor pulmonary function in the treatment of centrally located lung cancer.