Management of Endodontic and Periodontic Lesions

A special issue of Dentistry Journal (ISSN 2304-6767).

Deadline for manuscript submissions: closed (31 December 2020) | Viewed by 15568

Special Issue Editor

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
Interests: restorative dentistry; endodontics; digital dentistry; sealers; biocompatibility; adhesion; CAD-CAM
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

An anatomic–functional continuity between the hard dental tissues, the pulp, and the periodontal tissues occurs. Endodontic pathology is related to periodontal lesions as periapical granulomas and cysts. Traumas and periodontic lesions can cause pulpitis and root resorption. Dental caries and incorrect restorative treatments can cause endodontic and periodontal lesions.

Investigating these pathogenic mechanisms also through analyzing the inflammatory biomarkers can improve the diagnosis in order to plan the most effective therapeutic strategies.

The conservative approach is still the first choice in oral rehabilitation, allowing tissues preservation and the use of biocompatible and durable dental materials.

Choosing the materials in the different clinical situations is a key step to prevent complications and effectively manage therapy. The research on innovative materials improves the knowledge of healing mechanisms and, therefore, clinical efficacy. The improvement of instrumental diagnostics also allows planning a correct therapy and follow-up results over time.

The mission of this Special Issue is to analyze etiopathogenic mechanisms and to develop tools, biocompatible materials, and therapeutic strategies in pathological conditions related to endodontic and periodontic lesions.

I invite researchers and university groups to share original, clinical, and review studies, both from a basic sciences and a translational perspective, in order to highlight the current concepts on this subject for our readers.

Assoc. Prof. Giuseppe Lo Giudice
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Dentistry Journal is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2000 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • endodontic lesions
  • periodontic lesions
  • success rate
  • endodontic inflammation
  • root perforations
  • endodontic periodontal materials
  • biocompatibility
  • restorative dentistry
  • diagnosis
  • root fractures

Published Papers (5 papers)

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Editorial

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5 pages, 194 KiB  
Editorial
Management of Endodontic and Periodontal Lesions: the Role of Regenerative Dentistry and Biomaterials
by Marco Tatullo, Francesco Riccitiello, Sandro Rengo, Benedetta Marrelli, Rosa Valletta and Gianrico Spagnuolo
Dent. J. 2020, 8(2), 32; https://0-doi-org.brum.beds.ac.uk/10.3390/dj8020032 - 03 Apr 2020
Cited by 7 | Viewed by 2960
Abstract
Regenerative dentistry represents a novel interdisciplinary approach involving biomaterials, several molecules and mesenchymal stem cells (MSCs), preferably derived from oral tissues. The pivotal role of MSCs depends on the fact that they can differentiate into different cell lineages and have the strategic role [...] Read more.
Regenerative dentistry represents a novel interdisciplinary approach involving biomaterials, several molecules and mesenchymal stem cells (MSCs), preferably derived from oral tissues. The pivotal role of MSCs depends on the fact that they can differentiate into different cell lineages and have the strategic role to release bioactive substances that stimulate the renewal and regeneration of damaged tissues. The role of regenerative dentistry is promising in all the branches of dentistry: the most intriguing application is related to the management of endodontic and periodontal defects, overcoming the surgical approach and the implantology as a consequence of a poorly efficient therapeutic plan. Full article
(This article belongs to the Special Issue Management of Endodontic and Periodontic Lesions)

Research

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8 pages, 561 KiB  
Article
Correlation between Oral Hygiene and IL-6 in Children
by Roberto Lo Giudice, Angela Militi, Fabiana Nicita, Giancarlo Bruno, Cristina Tamà, Fabrizio Lo Giudice, Francesco Puleio, Fabrizio Calapai and Carmen Mannucci
Dent. J. 2020, 8(3), 91; https://0-doi-org.brum.beds.ac.uk/10.3390/dj8030091 - 11 Aug 2020
Cited by 10 | Viewed by 2771
Abstract
The aim of this study was to evaluate the correlation between marginal gingivitis, oral hygiene parameters, and interleukin-6 (IL-6) levels in gingival crevicular fluid of 40 children. The marginal periodontal pathology was evaluated by gingival index (GI). The status of oral hygiene was [...] Read more.
The aim of this study was to evaluate the correlation between marginal gingivitis, oral hygiene parameters, and interleukin-6 (IL-6) levels in gingival crevicular fluid of 40 children. The marginal periodontal pathology was evaluated by gingival index (GI). The status of oral hygiene was estimated by using patient hygiene performance (PHP), brushing frequency (BF), and plaque index (PI). IL-6 levels in gingival crevicular fluid were measured to evaluate the inflammation in marginal gingiva. PHP score showed a significant correlation with GI, BF, and PI. The groups based on PHP ranges were significantly related to IL-6 concentration in crevicular fluid. Full article
(This article belongs to the Special Issue Management of Endodontic and Periodontic Lesions)
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8 pages, 1219 KiB  
Article
3D Assessment of Endodontic Lesions with a Low-Dose CBCT Protocol
by Marco Portelli, Angela Militi, Antonino Lo Giudice, Roberto Lo Giudice, Lorenzo Rustico, Rosamaria Fastuca and Riccardo Nucera
Dent. J. 2020, 8(2), 51; https://0-doi-org.brum.beds.ac.uk/10.3390/dj8020051 - 13 May 2020
Cited by 11 | Viewed by 2672
Abstract
Background: Cone beam computed tomography (CBCT) is often used in different fields of dental science, especially in complex anatomical districts like the endodontic one. The aim of this study is to propose a low-dose CBCT protocol useful in cases of endodontic lesions. [...] Read more.
Background: Cone beam computed tomography (CBCT) is often used in different fields of dental science, especially in complex anatomical districts like the endodontic one. The aim of this study is to propose a low-dose CBCT protocol useful in cases of endodontic lesions. Methods: The device used was a MyRay Hyperion X9-11x5; the low dose setting of the machine was 90 Kv, 27 mAs, CTDI/Vol 2.89 mGy. The absorbed organ doses have been evaluated with an anthropomorphic phantom loaded with thermoluminescent dosimeters positioned at the level of sensitive organs like brain, bone marrow, salivary glands, thyroid, esophagus, oral mucosa, extrathoracic airways, and lymph nodes. Equivalent and effective doses have been calculated; the last one has been calculated using the recommendations approved by the Main Commission of ICRP (International Commission Radiological Protection) in March 2007. For the assessment of image quality, five senior clinicians, independent and experienced clinicians, were asked to state if CBCT scans were accurate enough to assess endodontic lesions. Results: The use of a low-dose CBCT acquisition produced the lowest organ dose (5.01 microSv) at the level of the esophagus. Image quality has been considered accurate enough for endodontic diagnostic needs. Conclusions: CBCT low-dose protocol can be used over the standard one in endodontic special cases because it provides a significantly lower radiation dose to the patients while ensuring good image quality. However, further studies are necessary to evaluate the opportunity of low-dose CBCT exams in endodontic clinical practice. Full article
(This article belongs to the Special Issue Management of Endodontic and Periodontic Lesions)
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7 pages, 229 KiB  
Article
Correlation of s-IgA and IL-6 Salivary with Caries Disease and Oral Hygiene Parameters in Children
by Giuseppe Lo Giudice, Fabiana Nicita, Angela Militi, Rossella Bertino, Marco Matarese, Monica Currò, Carmelo Salpietro Damiano, Carmen Mannucci and Gioacchino Calapai
Dent. J. 2020, 8(1), 3; https://0-doi-org.brum.beds.ac.uk/10.3390/dj8010003 - 27 Dec 2019
Cited by 18 | Viewed by 3175
Abstract
This study evaluates salivary immunoglobulin A (s-IgA) and interleukin 6 (IL-6) in saliva of children and its correlation to tooth decay severity. Fifty-nine patients were divided into two groups: caries free (A group) and caries active (B group). B group was investigated according [...] Read more.
This study evaluates salivary immunoglobulin A (s-IgA) and interleukin 6 (IL-6) in saliva of children and its correlation to tooth decay severity. Fifty-nine patients were divided into two groups: caries free (A group) and caries active (B group). B group was investigated according to Mount and Monse indices. Mean salivary IgA rate between two groups (A 16.7 ± 4.5 mg/dL vs. B 21.8 ± 12.9 mg/dL) was not significant, while IL-6 rate (A 19.02 ± 5.3 pg/mL vs. B 30.2 ± 11.8 pg/mL) was statistically different. This study revealed that salivary IL-6 levels were significantly higher in children with active caries when compared with the caries-free group, while the s-IgA rate showed no significant differences between the two groups. Full article
(This article belongs to the Special Issue Management of Endodontic and Periodontic Lesions)

Other

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9 pages, 13389 KiB  
Case Report
Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal
by Antonio Troiano, Giorgio Lo Giudice, Roberto De Luca, Fabrizio Lo Giudice, Salvatore D’Amato, Gianpaolo Tartaro and Giuseppe Colella
Dent. J. 2020, 8(2), 49; https://0-doi-org.brum.beds.ac.uk/10.3390/dj8020049 - 11 May 2020
Cited by 7 | Viewed by 3450
Abstract
The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, [...] Read more.
The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, Ø2.5 cm, in the right mandibular region with an oral implant intruding inside it. The overdenture in the mandibular right site showed no clinical mobility. The authors decided to perform a surgical treatment aimed to preserve the implant. The patient underwent Partsch I surgery followed by iodoform gauze insertion replaced weekly for one month, revision of the previous orthograde endodontic treatments, and an acrylic resin obturator prosthesis application for the following two months. The twelve month follow-up showed no clinical mobility of the right lateral mandibular implant prostheses. Radiographical analysis revealed cystic lesion healing and perimplant bone regeneration. This report highlights the opportunity to apply cystotomy when the cyst involves a dental implant and undermines its stability. This possibility is offered by the peculiar clinical scenario where the implant was stabilized by the presence of a previous prosthetic fixation. Our study led to the application of an operative protocol that allowed for the preservation of the implant. Full article
(This article belongs to the Special Issue Management of Endodontic and Periodontic Lesions)
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