PurposeThe aim of this in vitro study was to determine the sensitivity and specificity of cone-beam computed tomography (CBCT) and digital periapical radiography in the detection of mesial root perforations of mandibular molars.Materials and MethodsIn this in vitro study, 48 mandibular molars were divided into 4 groups. First, the mesial canals of all the 48 teeth were endodontically prepared. In 2 groups (24 teeth each), the roots were axially perforated in the mesiolingual canal 1-3 mm below the furcation region, penetrating the root surface ("root perforation"). Then, in one of these 2 groups, the mesial canals were filled with gutta-percha and AH26 sealer. Mesial canals in one of the other 2 groups without perforation (control groups) were filled with the same materials. The CBCT and periapical radiographs with 3 different angulations were evaluated by 2 oral and maxillofacial radiologists. The specificity and sensitivity of the two methods were calculated, and P<0.05 was considered significant.ResultsThe sensitivity and specificity of CBCT scans in the detection of obturated root canal perforations were 79% and 96%, respectively, and in the case of three-angled periapical radiographs, they were 92% and 100%, respectively. In non-obturated root canals, the sensitivity and specificity of CBCT scans in perforation detection were 92% and 100%, respectively, and for three-angled periapical radiographs, they were 50% and 96%, respectively.ConclusionFor perforation detection in filled-root canals, periapical radiography with three different horizontal angulations would be trustworthy, but it is recommended that CBCT be used for perforation detection before obturating root canals.

BACKGROUND: Cortisol is one of the important enzymes of saliva. Control of this hormone is an effective way to adjust the glucose level in diabetic patients. AIM: The aim of this research is to compare the salivary cortisol level in type 2 diabetic patients and pre-diabetics with healthy people. METHODS: In this case-control study (2018), the unstimulated salivary samples were collected from 44 patients with type 2 diabetes, 44 pre-diabetic people (case group), and 44 healthy subjects (control group), matched for age and gender. The samples were transferred to the laboratory, and salivary cortisol level was measured using ELISA. Data were analysed using SPSS 22 and Chi 2 tests. RESULTS: The mean salivary cortisol level in type 2 diabetic patients was 3.14 ± 1.17, in pre-diabetic cases was 1.83 ± 0.68, and in healthy controls was 0.86 ± 0.43 (P < 0.001). The mean DMFT in type 2 diabetic patients was 19.6 ± 6.5, in the pre-diabetic group was 13.43 ± 4.5, and in healthy controls was 9.38 ± 3.72 (P < 0.001). CONCLUSION: With regards to the results, salivary cortisol level in type 2 diabetic patients is more than pre-diabetic people, and in pre-diabetic people is more than healthy people. Also, there was a significant relation between salivary cortisol level and DMFT index.

Introduction: Regarding the cross contamination, prevention from infection is of high priority. The aim of this research was assessment of knowledge and attitude of dental students toward infection control in endodontics department of faculty of dentistry, Babol University of medical sciences. Materials and Methods: The study was accomplished among 8th, 10th and 12th grade dental students in endodontics department during October-January, 2011. The student's knowledge and attitude towards infection control were investigated. The range of knowledge score was 8 to 19. The scores below 14 were considered low and between14 to 17 moderate and higher than 17 good. The attitude questions also included 3 answers (agree, disagree and have no idea). Their scores were-1, 0 and 1. The range of attitude score was-6 to 8. The scores below-2 were considered low and between-2 to 2 moderate and higher than 2 good. Data were collected via questionnaire and analyzed statistically using One-Way ANOVA, and HSD Tukey. Results: There was no significant difference between men (15.45±2.85) and women knowledge (15.2±2.7) (P=0.65) and attitude (0.2±2.5 vs. 0.35±2.49) (P=0.5). The difference between 8th and 12th semester was statistically significant (p=0.026). There was no significant difference between different semesters in attitude (p=0.94). Conclusion: This study revealed that knowledge and attitude of Babol Dental School toward infection control is not adequate and more training in both educational and practical fields is required.

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