Endodontics

Diabetes Impact on Root Canal Dentin Nanostructure: A Study

New Study Sheds Light on the Impact of Diabetes on Root Canal Dentin Introduction A recent groundbreaking study by Mohammad Ali Saghiri and colleagues has...

Dr. Zainab Rangwala

Dr. Zainab Rangwala

Chief Dentist · GDCHJ

2 min read108,944 views
  • nanostructure
  • diabetes
  • root canal
  • professional education
  • dentistry
  • dentin
  • elemental analysis
  • apathite crystals
  • Endodontics
  • Clinical & Academic Article

New Study Sheds Light on the Impact of Diabetes on Root Canal Dentin

Introduction

A recent groundbreaking study by Mohammad Ali Saghiri and colleagues has utilized high-resolution transmission electron microscopy (HRTEM) and inductively coupled plasma mass spectrometry (ICP-MS) to assess the impact of diabetes mellitus (DM) on the nanostructure of root canal dentin.

Approach

The researchers examined twenty extracted human premolars procured from both diabetic and non-diabetic patients (n=10 in each group). The teeth were decoronated and split horizontally into forty 2-mm-thick dentin discs, each assigned to a specific test. The ICP-MS method was employed to ascertain the varying elemental levels of Cu, Li, Zn, Se, Sr, Mn, and Mg in diabetic and non-diabetic specimens. HRTEM was utilized for analyzing the form and quantity of the apatite crystals in diabetic and non-diabetic dentin at the nanostructural level. The data was then subjected to statistical analysis using Kolmogorov-Smirnov and student’s t-tests (p<0.05).

Findings

The ICP-MS analysis unveiled significant variances in trace element concentrations between diabetic and non-diabetic specimens (p<0.05). Strikingly, diabetic specimens displayed lower levels of Mg, Zn, Sr, Li, Mn, and Se (p<0.05), and higher levels of Cu (p<0.05). The HRTEM analysis further revealed that diabetic dentin had a less compact structure with smaller crystallites and significantly more crystals in the 2500 nm2 area (p<0.05).

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Topics

References

  1. [1]Duncan HF, Kirkevang LL, Peters OA, et al.. Treatment of pulpal and apical disease: The European Society of Endodontology S3-level clinical practice guideline International Endodontic Journal. 2023. Available at: source
  2. [2]American Association of Endodontists. Clinical Guidelines and Position Statements American Association of Endodontists. Available at: source

Written by

Dr. Zainab Rangwala

Dr. Zainab Rangwala

Chief Dentist · GDCHJ

With over 12 years of clinical experience, Dr. Zainab Rangwala brings a unique blend of clinical expertise and communication excellence to her role as the Media and PR Head at DentalReach. Passionate about bridging the gap between dentistry and digital communication, she plays a key role in shaping the platform’s voice and outreach.

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