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Bacground/Aim. The efficient dental anesthesia, which is related to the clinically adequate depth, duration and the width of anesthetic field, is an important prerequisite for successful dental treatment. The aim of this study was to investigate and compare the pulpal anesthesia and cardiovascular parameters after the anterior middle superior alveolar (AMSA) nerve block with 4% articaine with epinephrine administered by conventional cartridge-syringe and computer-controlled local anesthetic delivery system (CCLADS). Methods. This controlled double-blind cross-over randomized clinical study included 38 healthy volunteers. Efficacy of pulpal anesthesia after the AMSA nerve block was evaluated by measuring a success rate, onset and duration of pulpal anesthesia, using an electrical pulp tester. The parameters of cardiovascular function (systolic and diastolic blood pressure, heart rate) were monitored noninvasively. Results. Successful pulpal anesthesia of all tested teeth was obtained in 57.9% participants with CCLADS and in 44.7% participants with conventional syringe. The onset time was not significantly different between two investigated groups. The pulpal anesthesia duration was not significantly different neither within nor between investigated groups. The systolic and diastolic blood pressures were significantly decreased in both investigated groups, in comparison with the baseline values. Heart rate significantly decreased within CCLADS from 10th to 30th minute when compared to baseline. Conclusion. The efficacy of pulpal anesthesia and safety of cardiovascular profile of 0.6 mL of articaine with epinephrine (1:100.000) delivered with CCLADS were improved in comparison to the conventional syringe delivery. Significant changes of cardiovascular function were not observed.

Introduction/Objective. The aim of this study was a detailed examination of microanatomy of the medial posterior choroidal artery (MPChA). Methods. The microanatomical characteristics of the MPChA were studied in 30 formalin fixed brain hemispheres using ? 6.3 to ? 10 magnification of the stereoscopic microscope. The arteries were injected with the mixture of 10% India ink and gelatin. The second group of 10 hemispheres consisted of specimens injected with methylmethacrylate fluid into the cerebral arterial vessels, for the preparation of corrosion casts. Results. The MPChA was present in all 30 hemispheres, always as the single artery. The MPChA were divided into proximal and distal types of vessels. We distinguished two segments of the MPChA: a cisternal and plexal. Proximal MPChA was present in 53.3% of cases, with the caliber of 0.6-1.0 mm (mean 0.8 mm). ?he point of its origin from the posterior cerebral artery was always before the origin of the first temporal cortical branch. Distal MPChA existed in 46.7% of cases, with the diameter of 0.4-1.0 (mean 0.74 mm). The cisternal segment the most frequently gave of the origin of fine branches to the cerebral crus, medial geniculate body and thalamus. The plexal segment gave rise arteries to the thalamus, and choroid branches for the supply of the choroid plexus of the third ventricle. Anastomoses in the region of the MPChA were found in all of 20 examined brains, most often among the plexal branches. Conclusion. The results describing the microanatomical characteristics of the MPChA may have diagnostic and microsurgical significance.

Although TSC presents a suitable material for apical root-end filling in the treatment of chronic periradicular lesions a possible presence of systemic diseases, like type 2 DM, has to be considered in the treatment outcome estimation.