Identify and define all diagnostic terms for periapical/periradicular health and disease states.

Abstract:

INTRODUCTION:The purpose of this in-depth investigation was to identify, clarify, and substantiate clinical terminology relative to apical/periapical/periradicular diagnostic states, which is used routinely in the provision of endodontic care. Furthermore, the information gleaned from this investigation was used to link diagnostic categories to symptoms, pathogenesis, treatment, and prognosis wherever possible, along with establishing the basis for the metrics used in this diagnostic process. MATERIALS AND METHODS:Diagnostic terminologies and their relevance to clinical situations were procured from extensive historic and electronic searches and correlated with contemporary concepts in disease processes, clinical assessments, histologic findings (if appropriate), and standardized definitions that have been promulgated and promoted for use in the last 25 years in educational programs and test constructions and for third-party concerns. RESULTS:In general, clinical terminology that is used routinely in the practice of endodontics is not based on the findings of scientific investigations. The diagnostic terms are based on assumptions by correlating certain signs, symptoms, and radiographic findings with what is presumed (not proven) to be the underlying disease process of a given clinical state. There were no studies that specifically tried to assess the accuracy of the metrics used contemporarily for the classification of clinical disease states. CONCLUSION:A succinct diagnostic scheme that could be described thoroughly, agreed on unanimously, coded succinctly for easy electronic input, and ultimately used for follow-up analysis would not only drive treatment modalities more accurately, but would also allow for future outcomes assessment and validation.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Gutmann JL,Baumgartner JC,Gluskin AH,Hartwell GR,Walton RE

doi

10.1016/j.joen.2009.09.028

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1658-74

issue

12

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(09)00789-4

journal_volume

35

pub_type

共识发展会议,杂志文章
  • Mandibular first molar with six separate canals.

    abstract:INTRODUCTION:Many anatomical variations can occur within the mandibular first molar. Commonly, 3-4 canals are located, but as many as 6-7 canals have been reported. METHODS:This report describes a case of a mandibular first molar with 6 separate canals (3 mesial and 3 distal) that was instrumented with conventional ha...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2011.03.005

    authors: Ryan JL,Bowles WR,Baisden MK,McClanahan SB

    更新日期:2011-06-01 00:00:00

  • Evaluation of size variation between endodontic finger spreaders and accessory gutta-percha cones.

    abstract::The diameter of nine sizes of three brands of endodontic spreaders was measured at D1 and D16 and compared with corresponding sizes of six brands of accessory gutta-percha cones. Two evaluators independently measured 20 randomly selected samples of each size of finger spreader and accessory gutta-percha cone. A standa...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(07)80153-1

    authors: Hartwell GR,Barbieri SJ,Gerard SE,Gunsolley JC

    更新日期:1991-01-01 00:00:00

  • Temperature changes in gutta-percha and Resilon cones induced by a thermomechanical compaction technique.

    abstract:INTRODUCTION:The aim of this study was to assess temperature changes in conventional gutta-percha, thermoplastic gutta-percha, and Resilon cones by using thermomechanical compaction technique. METHODS:The root canals of extracted human teeth were placed in resin blocks and sectioned. After root canal preparation, cavi...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2009.03.009

    authors: Sant'Anna-Júnior A,Tanomaru-Filho M,Hungaro Duarte MA,Santos Nunes Reis JM,Guerreiro-Tanomaru JM

    更新日期:2009-06-01 00:00:00

  • Effect of a combination of torsional and cyclic fatigue preloading on the fracture behavior of K3 and K3XF instruments.

    abstract:INTRODUCTION:The purpose of this study was to evaluate the effect of various degrees of cyclic fatigue on torsional failure and torsional preloading on the cyclic fatigue life of heat-treated K3XF nickel-titanium (NiTi) instruments (SybronEndo, Orange, CA). METHODS:The mean number of cycles until failure (Nf) of K3XF ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2014.10.008

    authors: Shen Y,Riyahi AM,Campbell L,Zhou H,Du T,Wang Z,Qian W,Haapasalo M

    更新日期:2015-04-01 00:00:00

  • Rate and growth pattern of radicular apical third tissue apposition in tetracycline-labeled rats.

    abstract::The aim of this in vivo study was to find a way to conduct qualitative and quantitative evaluations of radicular apical third apposition in rats. Twenty rats were injected intraperitoneally with tetracycline at weight-adjusted doses. Mesio-distal sections of the first mandibular molar regions were prepared. The 60 to ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(99)80153-8

    authors: Peli JF,Oriez D

    更新日期:1999-04-01 00:00:00

  • Pulp tissue reactions to a dentin bonding agent as a direct capping agent.

    abstract::The aim of this study was to investigate the response of human pulp tissue to a dentin bonding agent, Scotchbond Multi-Purpose Plus (SMPP), in exposed class V cavities. Sixteen human premolar teeth were mechanically exposed. Ten pulps were capped with SMPP and six teeth were capped with Dycal. The cavities were filled...

    journal_title:Journal of endodontics

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.don.0000137649.24821.91

    authors: Sübay RK,Demirci M

    更新日期:2005-03-01 00:00:00

  • Dentin bond strength of two mineral trioxide aggregate-based and one epoxy resin-based sealers.

    abstract:INTRODUCTION:This study aimed at evaluating the bond strength to root dentin of 2 mineral trioxide aggregate (MTA)-based sealers (Endo-CPM sealer and MTA Fillapex) and of 1 epoxy resin-based sealer (AH Plus sealer). METHODS:Forty-five extracted human teeth with single roots were prepared by using the step-back techniq...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2011.10.018

    authors: Assmann E,Scarparo RK,Böttcher DE,Grecca FS

    更新日期:2012-02-01 00:00:00

  • Removal of surgical smear layer.

    abstract:INTRODUCTION:During apicoectomy and retrograde cavity preparation, a smear layer, which contains microorganisms and necrotic pulpal tissues, is formed on the dentinal surfaces cut by the instruments. Bacteria can survive and proliferate inside or below the smear layer. The purpose of this study was to evaluate in vitro...

    journal_title:Journal of endodontics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.joen.2011.03.001

    authors: Fabiani C,Franco V,Covello F,Brambilla E,Gagliani MM

    更新日期:2011-06-01 00:00:00

  • Extracellular dextran and DNA affect the formation of Enterococcus faecalis biofilms and their susceptibility to 2% chlorhexidine.

    abstract:INTRODUCTION:Enterococcus faecalis is frequently recovered from root-filled teeth with refractory apical periodontitis. The ability of E. faecalis to form a matrix-encased biofilm contributes to its pathogenicity; however, the role of extracellular dextran and DNA in biofilm formation and its effect on the susceptibili...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2012.04.007

    authors: Li W,Liu H,Xu Q

    更新日期:2012-07-01 00:00:00

  • MMP9 deficiency increased the size of experimentally induced apical periodontitis.

    abstract:INTRODUCTION:Apical periodontitis is an inflammation and destruction of periapical tissues. Matrix metalloproteinase-9 (MMP-9) is thought to be involved in periapical lesion formation and progression. The aim of this study was to evaluate the lesion progression in MMP-9 knockout (KO) mice compared with that in control ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2014.01.003

    authors: Wan C,Yuan G,Yang J,Sun Q,Zhang L,Zhang J,Zhang L,Chen Z

    更新日期:2014-05-01 00:00:00

  • Preexisting Periapical Inflammatory Condition Exacerbates Tooth Extraction-induced Bisphosphonate-related Osteonecrosis of the Jaw Lesions in Mice.

    abstract:INTRODUCTION:Surgical interventions such as tooth extraction increase the chances of developing osteonecrosis of the jaw in patients receiving bisphosphonates (BPs) for the treatment of bone-related diseases. Tooth extraction is often performed to eliminate preexisting pathological inflammatory conditions that make the...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2016.07.020

    authors: Song M,Alshaikh A,Kim T,Kim S,Dang M,Mehrazarin S,Shin KH,Kang M,Park NH,Kim RH

    更新日期:2016-11-01 00:00:00

  • Induction of cyclooxygenase-2 mRNA and protein expression in human pulp cells stimulated with black-pigmented bacteroides.

    abstract::Cyclooxygenase-2 (COX-2) is induced after the activation of cells by a variety of proinflammatory agents. Recently, evidence has shown that COX-2 may play a role in the pathogenesis of pulpal inflammation. However, little is known regarding the mechanism of pulpal inflammation at the site of bacterial infection. The p...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/00004770-200304000-00002

    authors: Chang YC,Huang FM,Yang SF,Liu CM,Lai CC,Chan Y,Hsieh YS

    更新日期:2003-04-01 00:00:00

  • A micro-computed tomographic analysis of maxillary lateral incisors with radicular grooves.

    abstract:INTRODUCTION:The radicular groove is clinically significant due to its relevance to onset of inflammatory processes in the periodontal tissues. This study examined anatomic features of radicular grooves by using micro-computed tomography (micro-CT) scans. METHODS:Eleven extracted permanent maxillary lateral incisors w...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2011.03.002

    authors: Gu YC

    更新日期:2011-06-01 00:00:00

  • Effect of Low-surface Tension EDTA Solutions on the Bond Strength of Resin-based Sealer to Young and Old Root Canal Dentin.

    abstract:INTRODUCTION:The purpose of this study was to evaluate the effect of low-surface tension EDTA solutions on the push-out bond strength of resin-based sealer to young and old root canal dentin. METHODS:Root canals from 64 (n = 32 age <30 years old and n = 32 >60 years old) extracted, decoronized, single-rooted human tee...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2017.09.007

    authors: Güzel C,Uzunoglu E,Dogan Buzoglu H

    更新日期:2018-03-01 00:00:00

  • Outcome and Survival of Endodontically Treated Cracked Posterior Permanent Teeth: A Systematic Review and Meta-analysis.

    abstract:INTRODUCTION:The aim of the present systematic review and meta-analysis was to evaluate the success and survival rate of endodontically treated cracked posterior teeth and to assess the preoperative factors that affect teeth survival. METHODS:The study protocol was registered on the PROSPERO international prospective ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.joen.2020.01.006

    authors: Olivieri JG,Elmsmari F,Miró Q,Ruiz XF,Krell KV,García-Font M,Durán-Sindreu F

    更新日期:2020-04-01 00:00:00

  • Effect of operator and subject gender on injection pain: a randomized double-blind study.

    abstract:INTRODUCTION:Studies have found women try to avoid pain more than men, accept it less, and fear it more. The role of operator gender on subject gender pain in a clinical setting needs further study. The purpose of this randomized, double-blind investigation was to evaluate operator gender and its influence on reported ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.joen.2014.10.001

    authors: Perry S,Drum M,Reader A,Nusstein J,Beck M

    更新日期:2015-02-01 00:00:00

  • Cutting efficiency of twisted versus machined nickel-titanium endodontic files.

    abstract:INTRODUCTION:The purpose of this study was to compare the efficacy of the cutting ability of two different instruments, concerning changes in the dentin thickness removed and root canal volume, by using multislice computed tomography scanning. METHODS:Thirty single-rooted mandibular premolars were divided into two equ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2011.03.036

    authors: Fayyad DM,Elhakim Elgendy AA

    更新日期:2011-08-01 00:00:00

  • Guided Endodontic Access in Maxillary Molars Using Cone-beam Computed Tomography and Computer-aided Design/Computer-aided Manufacturing System: A Case Report.

    abstract::The aim of this study was to describe a guided endodontic technique that facilitates access to root canals of molars presenting with pulp calcifications. A 61-year-old woman presented to our service with pain in the upper left molar region. The second and third left molars showed signs of apical periodontitis confirme...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2018.02.009

    authors: Lara-Mendes STO,Barbosa CFM,Santa-Rosa CC,Machado VC

    更新日期:2018-05-01 00:00:00

  • Cost-effectiveness of Different Post-retained Restorations.

    abstract:OBJECTIVES:Dentists can choose between metal and fiber post systems to provide post-retained restorations. The risk of tooth loss and other complications differs between different post systems, as do the initial treatment costs. We aimed to assess the cost-effectiveness of (1) cast metal (MC), (2) preformed metal (MP),...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2017.01.002

    authors: Schwendicke F,Stolpe M

    更新日期:2017-05-01 00:00:00

  • EZH2, a potential regulator of dental pulp inflammation and regeneration.

    abstract:INTRODUCTION:Dental pulp has limited capability to regenerate, which happens in the early stage of pulpitis. An ambiguous relationship exists; inflammation may impair or support pulp regeneration. Epigenetics, which is involved in cell proliferation and inflammation, could regulate human dental pulp cell (HDPCs) regene...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2014.01.031

    authors: Hui T,A P,Zhao Y,Wang C,Gao B,Zhang P,Wang J,Zhou X,Ye L

    更新日期:2014-08-01 00:00:00

  • The effect of different irrigating solutions on bond strength of two root canal-filling systems.

    abstract::The bond strength of ActiV GP root canal filling system and gutta-percha/AH plus sealer when used after final rinse with different irrigation protocols was evaluated in this study. Forty roots were randomly divided into four groups (n = 10) according to the final irrigation regimen: group 1, 5 mL 17% EDTA; group 2, 5 ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2009.01.003

    authors: Hashem AA,Ghoneim AG,Lutfy RA,Fouda MY

    更新日期:2009-04-01 00:00:00

  • Large-scale clinical endodontic research in the National Dental Practice-Based Research Network: study overview and methods.

    abstract:INTRODUCTION:This article reports on the feasibility of conducting a large-scale endodontic prospective cohort study in The National Dental Practice-Based Research Network. This study was designed to measure pain and burden associated with initial orthograde root canal therapy (RCT) and to explore potential prognostic ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2012.08.002

    authors: Nixdorf DR,Law AS,Look JO,Rindal DB,Durand EU,Kang W,Agee BS,Fellows JL,Gordan VV,Gilbert GH,National Dental PBRN Collaborative Group.

    更新日期:2012-11-01 00:00:00

  • A comparison of intracanal stresses in a post-restored tooth utilizing the finite element method.

    abstract::The finite element method was used to compare stresses along the inner canal wall in four two-dimensional models of an average maxillary central incisor. The four models evaluated were an intact incisor, an endodontically treated incisor, an endodontically treated crown-restored incisor, and a cylindrical post and cro...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(06)81210-0

    authors: Cailleteau JG,Rieger MR,Akin JE

    更新日期:1992-11-01 00:00:00

  • Machining efficiency of Flex-R, K-Flex, Trio-Cut, and S Files.

    abstract::Many root canal instruments with several different designs have been introduced during recent years. This article evaluates the machining properties of four such instruments: the Flex-R, K-Flex, Trio-Cut, and S file. There are large variations in the machining properties of these instruments. The results are comparabl...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/s0099-2399(07)80200-7

    authors: Stenman E,Spångberg LS

    更新日期:1990-12-01 00:00:00

  • Periapical Microsurgery: A 4-dimensional Analysis of Healing Patterns.

    abstract:INTRODUCTION:Currently, the success of periapical microsurgery is determined by the restoration of the lamina dura and the elimination of symptoms. However, inadequate site preservation may prevent later implant placement. Although not possible before, the advent of cone-beam computed tomographic imaging and computer-a...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2018.11.002

    authors: Crossen D,Morelli T,Tyndall DA,Tawil PZ

    更新日期:2019-04-01 00:00:00

  • Histological examination of paraformaldehyde-exposed gutta-percha implanted in rats.

    abstract::Adsorption of some paraformaldehyde was noted in a previous study evaluating its sterilizing effect on gutta-percha (GP). This study examined histologically the effect of this adsorption when formaldehyde-exposed GP was implanted into the subcutaneous connective tissue of rats. GP implants were prepared in cylinder sh...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(06)81372-5

    authors: Cleary PT,Newton CW,Morrison SW,Kafrawy AH

    更新日期:1992-02-01 00:00:00

  • Apical sealing ability of glass ionomer sealer with and without smear layer.

    abstract::The effect of two different root canal cements and removal of the smear layer on the apical seal in roots obturated with Thermafil obturators was tested. Thirty extracted human mandibular first molars with 60 canals (mesial roots) were instrumented with the use of a step-back technique. Teeth were placed into 6 groups...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(98)80131-3

    authors: Timpawat S,Sripanaratanakul S

    更新日期:1998-05-01 00:00:00

  • Combined Endodontic Therapy and Intentional Replantation for the Treatment of Palatogingival Groove.

    abstract::A palatogingival groove is an anatomic malformation that predisposes the involved tooth to a severe periodontal defect. When the condition is complicated by pulpal necrosis, affected teeth often present a dilemma in terms of diagnosis and treatment planning. In this report, we describe the case of a patient with a max...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2015.10.009

    authors: Garrido I,Abella F,Ordinola-Zapata R,Duran-Sindreu F,Roig M

    更新日期:2016-02-01 00:00:00

  • DIAGNOdent laser fluorescence assessment of endodontic infection.

    abstract:INTRODUCTION:Real-time assessment of the microbial status of the root canal system would be useful in clinical endodontic practice for determining endpoints of biomechanical treatment. This laboratory study used an existing laser fluorescence device, the DIAGNOdent (KaVo, Biberach, Germany), in a proof-of-concept study...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2009.07.006

    authors: Sainsbury AL,Bird PS,Walsh LJ

    更新日期:2009-10-01 00:00:00

  • Comparison of two different direct digital radiography systems for the ability to detect artificially prepared periapical lesions.

    abstract::The purpose of this study was to compare Schick CDR and Trophy RVGui direct digital radiography (DDR) systems for the ability to detect periapical lesions in human cadaver mandibles. Digital radiographs were exposed of teeth with normal periapical areas and of teeth with artificially prepared periapical lesions using ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/01.don.0000140571.23012.ff

    authors: Folk RB,Thorpe JR,McClanahan SB,Johnson JD,Strother JM

    更新日期:2005-04-01 00:00:00