Document Detail


The influence of pressure changes on endodontically treated teeth during simulated dives.
MedLine Citation:
PMID:  21899567     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
von See C, Rücker M, Koch A, Kokemueller H, Schumann P, Ziebolz D, Gellrich N-C. The influence of pressure changes on endodontically treated teeth during simulated dives. International Endodontic Journal,. ABSTRACT: Aim  To measure and evaluate pressure changes in the pulp chambers of extracted teeth exposed to hyperbaric conditions during root canal treatment. Methodology  A pressure sensor was inserted and sealed into the pulp chambers of extracted human molars (n = 6). The teeth were subjected to simulated dives to 4.5 bar in a diving chamber. During the simulated ascents and descents, the pressure within the pulp chamber was measured, and the difference between the pressure inside the pulp chamber and the pressure in the diving chamber was calculated. Each tooth underwent two dives with an intact pulp chamber, with a calcium hydroxide dressing, after root canal filling, and after adhesive sealing of the pulp chamber floor with a composite. Differences were analyzed statistically (P < 0.05) using one-way analysis of variance (anova). Results  There were no significant pressure differences in teeth with an intact pulp chamber and teeth with a calcium hydroxide dressing. After root filling, however, the increase in pressure inside the pulp chamber was significantly lower (P < 0.05) than that in the diving chamber. After adhesive sealing of the pulp chamber floor with a composite, the pressure inside the pulp chamber was significantly lower (P < 0.05) than the pressure in the diving chamber. Conclusions  In root canal treatment, canal orifices should be sealed with an adhesively bonded composite filling before a dive. The use of a calcium hydroxide dressing after root canal preparation does not disqualify patients from diving.
Authors:
C von See; M Rücker; A Koch; H Kokemueller; P Schumann; D Ziebolz; N-C Gellrich
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-8
Journal Detail:
Title:  International endodontic journal     Volume:  -     ISSN:  1365-2591     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8004996     Medline TA:  Int Endod J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© International Endodontic Journal.
Affiliation:
Department of Oral and Maxillofacial Surgery, Hanover Medical School, Hanover Naval Institute of Maritime Medicine, Kiel Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center, Goettingen, Germany.
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