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Objective To assess the 6- to 24-month outcome of endodontic treatments performed, by one specialist, and to identify prognostic factors that may influence initial endodontic treatment outcome (IETO). Methods One hundred and forty-six patients out of 163 were included. A number of 201 teeth were endodontically treated, and an overall number of 408 canals were obturated. Of these, 165 teeth received initial endodontic treatment (IET). The criteria of the European Society of Endodontology were used to assess the IETO. The level of significance was set at p < 0.05%. Results Apical periodontitis (AP) was present in 42.5% of all cases, with a PAI >3 in 28.5%. The success rate (SR) was 91.5%. It was significantly higher in vital teeth (97%) than in devital teeth (87.7%) (p=0.04); however, a lower SR was recorded in teeth with AP (p=0.02). The lesion healed in 60 teeth (85.7%), decreased in size in 4 teeth (5.7%), and increased in size in 6 teeth (8.5%). A higher SR was obtained when a permanent restoration was present (94%) than absent (68.7%) (p=0.005). Conclusion Within the limitations of the study, pulp and periapical status and permanent restoration are found to be strong outcome predictors.

We report a case of multiple dental traumas in a 15-year-old school boy who was hit by a stone. Clinical examinations revealed the avulsion of teeth 21, 22, and 23, an uncomplicated crown fracture of tooth 41, and a complicated crown fracture (CCF) of teeth 11, 31, and 33. An alveolar bone fracture and a root fracture in the apical third of tooth 23 were as well noted on radiographs. The avulsed teeth were replanted and rigidly splinted after an extraoral dry time of 90 min. Endodontic treatments were performed on teeth with CCFs. The dental morphology was restored using polyethylene fiber-reinforced composite resin. Endodontic obturations were performed on replanted teeth after the arrest of external root resorptions by a long-term calcium hydroxide dressing. Esthetics and function were recovered with a 2.5-year follow-up period.

We report a case of a horizontal intra-alveolar root fracture between the middle and apical third of the upper right central incisor associated with an extrusive luxation of the coronal fragment, in a 24-year-old male patient. Twenty minutes after being accidentally hit by a metallic device, the patient's coronal portion was repositioned and splinted under local anesthesia. After that, we lost sight of the patient. One year later, the patient showed up. The splint was lost, the tooth showed physiological mobility and responded to pulp testing. Radiographs showed healing of the horizontal fracture and normal periodontal ligament.

Composites are drawing more and more attention as preferred materials for teeth restoration. The success of teeth restoration has been generally limited by the Composite Resin-Dentin bond strength. A testing device has been developped to allow a satisfactory testing mehod for evaluating bonding strength in tension and shear, which led t o reproducible results. A comparaison between different bond systems has shown no significant difference in the tensile and the shear strength as well as in the fracture behavior. Moreover, results showed difference between tensile and shear strength, when considering one same bond system. Failure mode examination turned out to be, either cohesive (composite rupture), or adhesive (interface rupture) or both (mixed rupture).