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Introduction: The implementation of CBCT in endodontics has been supported by the European Endodontic Society. Our aim was to assess the impact of using CBCT examination carried out according to the European Commission Guidelines versus retrodentoalveolar radiography in terms of diagnostic and treatment plan. CBCT will require a new index, still being researched, PESS (Periapical and Endodontic Status Scale ). Material and Method: Our study includes 57 patients with teeth that have not been endodontically treated, diagnosed with pulp necrosis and 30 patients with periapical lesions, with or without symptoms. The examiners - two endodontics specialists (12) and one general and dentomaxillofacial radiologist (3) - carried out a preliminary diagnosis, after a clinical evaluation, taking into account the patients' history, clinical signs, diagnosis tests, retrodentoalveolar radiographs for each of the teeth presenting one of the above mentioned pathologies. Both the retrodentoalveolar radiography and the CBCT were carried out in the same private clinic. Results: The population included in the study consisted of 87 patients: 44 women - 51.2% and 43 men - 48.8%. The average age of the men was 33.69 ± 11.774 and of the women 33.23 ± 11.287, without any statistically significant differences in terms of age or gender (p = 0.857) Among the 57 patients with pulp necrosis, periapical radiotransparency was diagnosed in 80 roots by using retrodentoalveolar radiographs, compared to 92 diagnosed using CBCT. Among the 30 patients with periapical lesions, 35 affected roots were found by using retrodentoalveolar radiographs versus 54 diagnosed by using CBCT. Using the CBCT-PAI index in order to evaluate the periapical lesions, the maximum value for the maxillary was S3 49.5% and for the mandible - S4 65.1%. Discussion: The CBCT examination revealed significantly more periapical lesions than retrodentoalveolar radiographs did. One must take into account the fact that the CBCT examination had a great influence on the choice of diagnosis and treatment plan. Conclusions: The diagnosis and treatment plan were changed for the teeth in which periapical lesions were found as a result of the CBCT examination. [ABSTRACT FROM AUTHOR]

Objective: Periapical granulomas, chronic periapical osteitis produced particularly by the bacterial continuous agression from the endodontic space, can develop accordingly, or they can transform in epithelial or cystic granulomas, their diagnosis being more difficult to determine at these stages. This study aimed to emphasize a few aspects that can conduce to an easier diagnosis establishment. Materials and method: 78 patients with periapical chronic periodontitis have been evaluated in order to assess their evolution to epithelial or cystic granulomas. These cases were monitorised during the endodontic treatment and, were necessary, endodontic surgery was performed and samples for the histopathologic exam were drawn, in order to make an accurate diagnose. Results: From the 78 cases of teeth with chronic periapical periodontitis, 18 required surgical approach: 4 curettages, 5 apicectomies, 9 extractions, from which 7 were labeled as cystic granulomas, after the microscope examination. Conclusions: Untill the comming out of an accurate diagnosis method for these lesions, the practitioner must consider all possible data from the anamnesis to the clinic and radiographic exam, the only relyable method to establish a correct diagnosis being the histopathologic exam. [ABSTRACT FROM AUTHOR]

Diseases in the maxillofacial sphere and especially the dysfunctional syndrome of the stomatognathic system have many connections and interferences with the psychiatric pathology and why not last, but not least the appearance and aesthetics that have an impact on social life and success. On the other hand, there has been a significant increase in the use of antipsychotics in recent decades. The negative impact on oral health has also increased. The ability to diagnose mental illness is essential due to the social stigma associated with these disorders and a correct differential diagnose as well. This article describes the oro-dental rehabilitation of one case, psychiatrically treated, with mandibular and maxilla missing teeth and dental destruction and prosthetic damage, temporomandibular disorders pathology due to the disbalanced occlusion and depression and anxiety, with specific medication, fixed and removable hybrid prosthesis and intra oral complex rehabilitation. [ABSTRACT FROM AUTHOR]

Dental mobility from different causes as: trauma, periolesions, tumors is a terrible symptom for patients, no matter about age. For dental mobility third degree, the treatment is usually radical as extraction; in some cases we can make a conservative treatment as a preventive method followed by success if the pacient respects the therapy dynamic. [ABSTRACT FROM AUTHOR]

The purpose of the study is to assess the apical sealing ability of the endodontic space using two types of canal filling techniques: vertical compaction of warm gutta-percha and AhPlus sealer compared with Resilon and Real- Seal SE. Two sets of extracted human teeth were prepared with rotary instruments, each 20 teeth being obturated by the two techniques: the classical and the adhesive root canal filling. The apical leakage of the root canal filling made with Resilon and RealSeal SE was higher than the one with gutta-percha and AhPlus. The difference was statistically significant. [ABSTRACT FROM AUTHOR]