Alex Fok

Alex Fok


Research Focus & Metrics

Academic Career Length

15Years (2012-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

View All Publications
25 July 2022 in International Endodontic Journal
Verified
Journal Article
Open access
HXHaiping Xu
Haiping Xu
ZYZhou Ye
Zhou Ye
AZAnqi Zhang
Anqi Zhang
FLFei Lin
Fei Lin
JFJing Fu
Jing Fu
AFAlex Fok
Alex Fok
Aim: The use of high‐concentration sodium hypochlorite (NaOCl) as an endodontic irrigant remains controversial because of its potential impact on the fracture strength of endodontically treated teeth. This study evaluated the effects of using different NaOCl concentrations, with 2‐min‐ethylenediaminetetraacetic acid (EDTA) as the final active irrigant, on the biomechanical and structural properties of root dentine.Methodology: A new test method, which is more clinically relevant, was utilized to calculate the fracture strength of root dentine. Bovine incisors were used to obtain root dentine discs. The root canals were enlarged to mean diameter of 2.90 mm with a taper of 0.06. The resulting discs were divided into five groups (n = 20) and treated with different concentrations of NaOCl (5.25%, 2.5%, and 1.3%) for 30 min plus 17% EDTA for 2 min. The discs were then loaded to fracture by a steel rod with the same taper through the central hole. The fractured specimens were examined by scanning electron microscopy to evaluate changes in the dimensions of the remaining intertubular dentine and the tubular radius. Micro‐hardness was also measured with a Knoop diamond indenter along a radius to determine the depth of dentine eroded by the irrigation. Results were analysed by one‐way anova and the Tukey test. The level of significance was set at α = 0.05.Results: The damage by NaOCl increased with its concentration. 5.25% NaOCl greatly reduced the fracture strength of root dentine from 172.10 ± 30.13 MPa to 114.58 ± 26.74 MPa. The corresponding reduction in micro‐hardness at the root canal wall was 34.1%. The damages reached a depth of up to 400 μm (p < .05). Structural changes involved the degradation of the intratubular wall leading to enlarged dentinal tubules and the loss of intertubular dentine. Changes in the microstructural parameters showed positive linear relationships with the fracture strength.Conclusions: With the adjunctive use of EDTA, NaOCl caused destruction to the intratubular surface near the root canal and, consequently, reduced the root dentine's mechanical strength. The higher the concentration of NaOCl, the greater the effect. Therefore, endodontists should avoid using overly high concentration of NaOCl for irrigation to prevent potential root fracture in endodontically treated teeth.

1 January 2014 in Acta Biomaterialia
Verified
Journal Article
Closed access
YLY. Li
Y. Li
CCC. Carrera
C. Carrera
RCR. Chen
R. Chen
JLJ. Li
J. Li
PLP. Lenton
P. Lenton
AFAlex Fok
Alex Fok

1 April 2015 in Dental Materials
Verified
Journal Article
Closed access
CCCarola A. Carrera
Carola A. Carrera
CLCaixia Lan
Caixia Lan
DEDavid Escobar-Sanabria
David Escobar-Sanabria
YLYuping Li
Yuping Li
JRJoel Rudney
Joel Rudney
AFAlex Fok
Alex Fok

1 April 2019 in Acta Biomaterialia
Verified
Journal Article
Closed access
DMDina G. Moussa
Dina G. Moussa
AFAlex Fok
Alex Fok
Conrado AparicioConrado Aparicio
Conrado Aparicio

1 November 2013 in Dental Materials
Verified
Journal Article
Closed access
AFAlex Fok
Alex Fok

1 June 2022 in The Journal of Prosthetic Dentistry
Verified
Journal Article
Closed access
BTBruna Santos Honório Tonin
Bruna Santos Honório Tonin
YHYiting He
Yiting He
NYNing Ye
Ning Ye
HCHooi Pin Chew
Hooi Pin Chew
AFAlex Fok
Alex Fok