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per week. However, better saliva contamination and moisture control with lack of the primer stage and, thereby, an acceptable bracket failure rate will bring clinically significant results with less chair time for clinicians.

The aim of this randomized, controlled, three-arm parallel group, and double-blinded clinical trial was to evaluate the clinical, radiographic, and histopathological success of three different pulp-capping materials in one-stage indirect pulp treatment of primary teeth.

The study included a total of 109 patients aged 5-9years who had primary teeth with deep carious lesions and symptoms of reversible pulpitis. The teeth were divided into three groups according to the pulp-capping agents (I) hard-setting calcium hydroxide (Dycal) (control group) (n = 36), (II) bioactive tricalcium silicate (Biodentine) (n = 37), and (III) resin-based tricalcium silicate (TheraCal LC) (n = 36). selleckchem All the teeth were evaluated clinically and radiographically at 6, 12, 18, and 24months postoperatively. A total of 23 primary mandibular second molars that were in their regular exfoliation period (24-40months) were extracted and fixed in 10% formaldehyde solution. The specimens were evaluated histologically to assess the integrity oontaining material such as TheraCal LC.

Resin-free calcium silicate-based materials appear to be more favorable in the indirect pulp treatment of primary teeth, particularly in young-age groups that require long-term success.

Resin-free calcium silicate-based materials appear to be more favorable in the indirect pulp treatment of primary teeth, particularly in young-age groups that require long-term success.

N-Acetyl cysteine (NAC), a well-known antioxidant molecule, has been used to modulate oxidative stress and inflammation. However, no studies have examined the effect of NAC in regenerative endodontic procedures (REPs). Therefore, the aim of this study was to investigate the effects of NAC on cell survival, mitochondrial reactive oxygen species (mtROS) production, and inflammatory and mitochondria-related gene expression on lipopolysaccharide (LPS)-treated apical papilla cells (APCs).

To assess the NAC concentration, 5 and 10mM NAC were administered to LPS-treated APCs. Cell proliferation was measured at 24, 48, and 72h by using AlamarBlue® assay. The 5-mM concentration was further analyzed using different treatment durations 10min, 24h, and the entire study period. The mtROS production was quantified using MitoSOX™ Red and MitoTracker™ Green. RT-PCR was used to detect the expression of IL-6 and TNF-α inflammatory genes and mitochondrial morphology-related genes (Mfn-2/Drp-1 and Bcl-2/Bax) at 6 and 24h. Th. Therefore, NAC may be considered as a potential adjunctive irrigation solution in REPs.

To investigate the root canal morphology of mesiobuccal (MB) roots in maxillary first molars, and to assess the presence of a second mesiobuccal canal (MB2) according to the location of the main MB canal.

A total of 72 extracted permanent maxillary first molars were collected from dental clinics and were scanned with micro-CT and reconstructed three-dimensionally. The root canal systems were recorded according to Vertucci's classification, and the occurrence of accessory canals was also recorded. The root canal dimensions were measured at the coronal (furcation plane), middle, and apical root levels. The long (D) and short (d) diameters as well as the palatal (P) and buccal (B) distances from the center of the first mesiobuccal canal (MB1) to the root surface were measured, and the ratios of D/d and P/B were calculated. Receiver operating characteristic (ROC) curve analysis was used to evaluate the diagnostic accuracy of using the ratio of P/B for predicting the presence of an MB2 canal. The best cut-off apical level, the AUC was 0.94 (P < 0.01), and the best cut-off point was 1.77.

The MB2 canals may be present in the MB roots of maxillary first molars with a high occurrence rate at various levels, and the P/B ratio of the MB1 is a good index for predicting the presence of an MB2. However, since all the sample teeth were collected from a Chinese population, clinicians have to be cautious while trying to apply the conclusions on teeth of other ethnic populations.

By calculating the P/B ratio, an index reflecting the buccal deviation of the MB1, clinicians can predict the presence of an invisible MB2 in cone-beam computed tomography images with inadequate resolution.

By calculating the P/B ratio, an index reflecting the buccal deviation of the MB1, clinicians can predict the presence of an invisible MB2 in cone-beam computed tomography images with inadequate resolution.

To study the effects of chronic apical periodontitis (CAP) on the inflammatory response and initial lesion of aorta in hyperlipemic rats.

Sprague-Dawley (SD) rats aged 14 weeks were randomly divided into 4 experimental groups (n = 8), namely, normal diet (ND), high-fat diet (HFD), CAP, and HFD + CAP. The rats were raised under controlled conditions and fed with diet specified for each group. All subjects were euthanatized after 14 weeks for histopathological analysis. Serum cytokines were analyzed to assess changes in gene and protein expression of aorta via enzyme-linked immunosorbent assay and real-time polymerase chain reaction. Results were analyzed by one-way ANOVA.

Low-density lipoprotein cholesterol levels in rats in HFD + CAP group were significantly higher than those in other groups. By comparison, low-density lipoprotein cholesterol levels in rats in both the HFD and HFD + CAP groups were significantly lower than those in the other groups. No significant difference among all groups was observed in terms of CRP level. However, levels of IL-2, IL-6, and IL-10 increased in the experimental CAP rats compared with the control rats. mRNA expression levels of MCP-1, TLR-4, and NF-κB p65 were markedly elevated in rats in the HFD group compared with those in rats in the ND group. TLR-4 mRNA expression was significantly higher in rats in the HFD + CAP group than that in rats in the HFD group.

CAP mediated the high expression of cytokines and induced the initial inflammatory response in the aorta. Apical periodontitis may affect the level of inflammatory cytokines (IL-2, IL-6, and IL-10) depending on the immune response.

CAP may trigger a systemic inflammatory response and affect the aorta of patients.

CAP may trigger a systemic inflammatory response and affect the aorta of patients.

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