Browsing by Author "Gambarini, Gianluca"

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Citation Count: 9
Differences in endodontic emergency management by endodontists and general dental practitioners in COVID-19 times
(Sociedade Brasileira de Pesquisa Odontologica, 2020) Ates, Ayfer Atav; Alomari, Taher; Bhardwaj, Anuj; Tabnjh, Abedelmalek; Gambarini, Gianluca
The aim of this study was to assess the differences, if any, between general dental practitioners (GDPs) and endodontists, in the diagnosis and treatment of endodontic emergencies during the worldwide outbreak of COVID-19. An online questionnaire was randomly sent by social media to clinicians in different countries from 24 April, 2020 to May 4, 2020. The survey consisted of a series of questions about demographic characteristics, endodontic emergency diagnoses, approaches to prevent aerosol formation, drug prescriptions in case of symptomatic irreversible pulpitis, and the ways in which dentists managed endodontic emergencies during the COVID-19 lockdown. A total of 1,058 dentists responded to the questionnaire; 344 (32.6%) of the participants were endodontists. Slightly less than half of the participants (n = 485, 45.8%) worked during the lockdown, but only 303 participants (28.6%) treated endodontic cases/emergencies. The responses showed agreement between endodontists and GDPs regarding the diagnosis of symptomatic irreversible pulpitis (SIP), symptomatic apical periodontitis (SAP), reversible pulpitis, and asymptomatic irreversible pulpitis (AIP). SIP and SAP were considered an emergency, whereas reversible pulpitis and AIP were not considered an emergency (p > 0.05). Non-aerosol-generating procedures and treatment approaches differed between the groups (p < 0.05). One-third of the participants did not use rubber dam (p > 0.05). Ibuprofen and amoxicillin-clavulanic acid were the most frequently prescribed drugs for pain associated with SIP. In conclusion, the most relevant findings in our survey were the differences between endodontists and GDPs in diagnosis, precheck triage, deep caries excavation procedures, and endodontic emergency pain relief strategies.
Citation Count: 2
Influence of Clinical Operative Technique on Debris Extrusion of Two Reciprocating Files
(Assoc Apoio Pesquisa & Saude Bucal-apesb, 2021) Ates, Ayfer Atav; Arican, Burcin; Testarelli, Luca; Gambarini, Gianluca; Zanza, Alessio; Seracchiani, Marco
Objective: To compare the influence of different clinical operative motions (pecking motion vs. MIMERACI) on apical debris extrusion using WaveOne Gold and EdgeOne Fire reciprocating files in the mesiobuccal canal of extracted molars. Material and Methods: Sixty mandibular molar teeth with curvature less than 20 degrees were divided into 4 groups (n=15 each): G1A: WOG pecking Group; G1B: WOG MIMERACI Group; G2A: EOF pecking Group; and G2B: EOF MIMERACI Group. The produced debris was collected in the preweighed Eppendorf tubes and following the shaping procedures; they dried in the incubator for 5 days at 70 degrees C. The tubes were weighed again, and the final extruded debris was measured by subtracting the pre-instrumentation from post-instrumentation weight of tubes. The canal preparation time was calculated with a digital chronometer. The obtained data were analyzed using two-way ANOVA at a 0.05 level of significance. Results: MIMERACI method significantly decreased the amount of debris pushed out in both instruments (p<0.05). Neither instruments nor clinical motions created a statistical difference regarding the required time (p>0.05). Conclusion: All tested instruments pushed debris out apically at some level, but MIMERACI operative technique was associated with significantly less apical debris extrusion.