scholarly journals Micro-CT Evaluation of Four Root Canal Obturation Techniques

Scanning ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mahmood Reza Kalantar Motamedi ◽  
Amin Mortaheb ◽  
Maryam Zare Jahromi ◽  
Brett E. Gilbert
Keyword(s):  
Root Canal ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Volume Percentage ◽  
Root Canal Obturation ◽  
Total Percentage ◽  
Significant Difference ◽  
Single Cone ◽  
Percentage Volume

Purpose. The aim of this in vitro study was to evaluate the quality of four root canal obturation techniques using microcomputed tomography (micro-CT). Materials and Methods. A total of 36 mandibular first premolars with mostly round canals were decoronated, then instrumented up to a size F3 rotary file, and dressed with an epoxy resin-based sealer. Subsequently, they were divided into 4 different groups ( n = 9 ) based on the method of obturation: lateral condensation using 0.02 tapered master cone (LC2), lateral condensation using 0.04 tapered master cone (LC4), matched single-cone technique (MS), and matched single cone-mediated ultrasonic activation (MSUA). All the teeth were scanned using micro-CT (resolution of 19 μm), and the percentage volume of voids was calculated. One-way analysis of variance and Tukey test were used to analyze the data ( α = 0.05 ). Results. The total percentage volume of voids was significantly lower in the MSUA group compared to all other groups ( P < 0.05 ). The total percentage volume of voids was significantly lower in the MS group compared to the LC4 ( P < 0.001 ) and LC2 ( P < 0.001 ) groups. However, there was no significant difference between the LC2 and LC4 groups ( P < 0.65 ). Conclusions. MSUA, significantly, showed the least root canal filling voids amongst all the obturation techniques studied. MSUA can be considered an effective method for the filling of the round root canals. In general, lateral condensation using either 0.02 or 0.04 tapered master cones had significantly the highest volume percentage of voids amongst the experimental groups.

scholarly journals Quality of Root Canal Filling Using a Bioceramic Sealer in Oval Canals: A Three-Dimensional Analysis

2021 ◽  
Author(s):  
Poliana J. Penha da Silva ◽  
Marília F. Marceliano-Alves ◽  
José C. Provenzano ◽  
Rafaela L. A. Dellazari ◽  
Lucio Souza Gonçalves ◽  
...  
Keyword(s):  
Root Canal ◽  
Three Dimensional ◽  
Nickel Titanium ◽  
Morphological Parameters ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Significant Difference ◽  
Single Cone

Abstract Objectives The oval canals may be associated with inadequate debridement, which can affect the quality of the root canal filling, thus the treatment outcome. The aim of the present work was to compare the quality of oval canals fillings using EndoSequence BC sealer with the single-cone technique or cold lateral compaction. Materials and Methods Thirty-eight human single-rooted premolars with oval canals were instrumented to 1 mm from the apical foramen with hand nickel–titanium files, followed by circumferential filing with Hedstrom files. Teeth were paired into two groups based on their micro-computed tomography (CT) morphological parameters. Both groups were filled using EndoSequence BC sealer. The first used a single cone and the other with the cold lateral compaction technique. The voids volume was evaluated by micro-CT and the percentage was calculated for the total length and for the apical 5 mm of each canal. The Mann–Whitney U test was used to assess whether the surface area and obturation length differed significantly between the groups and to compare the percentage of voids for each technique. Results Both techniques resulted in less than 16% voids, with no statistically significant difference between them for the total canal length and for the apical 5 mm (p > 0.05). Conclusions The quality of the obturation performed with the single-cone technique was similar to that achieved with lateral compaction using EndoSequence BC sealer in oval canals.

scholarly journals Impacts of contracted endodontic cavities compared to traditional endodontic cavities in premolars

2020 ◽  
Author(s):  
Xia Juan ◽  
Wang weidong ◽  
Li Zhengmao ◽  
Lin Bingpeng ◽  
Zhang Qian ◽  
...  
Keyword(s):  
Root Canal ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Filling Material ◽  
Root Canal Filling ◽  
Surface Areas ◽  
Significant Difference ◽  
3D Printed ◽  
Post Hoc

Abstract Background: This study aims to compare the percentage of dentin removed, instrumentation efficacy, root canal filling and load at fracture between contracted endodontic cavities, and traditional endodontic cavities on root canal therapy in premolars. Methods: Forty extracted intact human first premolars were imaged with micro-CT and randomly assigned to the contracted endodontic cavity (CEC) or traditional endodontic cavity (TEC) groups. CEC was prepared with the aid of a 3D-printed template, canals were prepared with a 0.04 taper M-Two rotary instrument, and cavities were restored with resin. Specimens were loaded to fracture in an Instron Universal Testing Machine after a fatigue phase. The data were analyzed by the independent samples T test and Mann-Whitney U test, appropriate post hoc tests. Results: In the premolars tested in vitro, the percentage of dentin removed in the premolars with two dental roots in the CEC group (3.85% ± 0.42%) was significantly smaller (P < 0.05) than in the TEC group (4.94% ± 0.5%). The untouched canal wall (UCW) after instrumentation for TECs (16.43% ± 6.56%) was significantly lower (P< .05) than the UCW (24.42% ± 9.19%) for CECs in single-rooted premolars. No significant differences were observed in the increased canal volume and surface areas in premolars between the TEC and CEC groups (P > 0.05). CECs conserved coronal dentin in premolars with two dental roots but no impact on the instrument efficacy. There were no differences between the CEC groups and the TEC groups in the percentage of filling material and voids (P > 0.05). In addition, the mean load at failure of premolars did not significantly differ between the CEC and TEC groups and there was no significant difference in the type of fracture (P > 0.05). Conclusion: The results of this study suggest that CEC could not improve the fracture resistance of the endodontically treated premolars. The instrumentation efficacy and the percentage of filling material did not significantly differ between CECs and TECs in premolars. Keywords: 3D-printed template, contracted endodontic cavities, instrumentation efficacy, root canal filling, fracture resistance

scholarly journals Impacts of contracted endodontic cavities compared to traditional endodontic cavities in premolars

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Juan Xia ◽  
Weidong Wang ◽  
Zhengmao Li ◽  
Bingpeng Lin ◽  
Qian Zhang ◽  
...  
Keyword(s):  
Root Canal ◽  
Testing Machine ◽  
Filling Material ◽  
Root Canal Filling ◽  
Surface Areas ◽  
Significant Difference ◽  
3D Printed ◽  
Post Hoc ◽  
Rotary Instrument

Abstract Background This study aims to compare the percentage of dentin removed, instrumentation efficacy, root canal filling and load at fracture between contracted endodontic cavities, and traditional endodontic cavities on root canal therapy in premolars. Methods Forty extracted intact human first premolars were imaged with micro-CT and randomly assigned to the contracted endodontic cavity (CEC) or traditional endodontic cavity (TEC) groups. CEC was prepared with the aid of a 3D-printed template, canals were prepared with a 0.04 taper M-Two rotary instrument, and cavities were restored with resin. Specimens were loaded to fracture in an Instron Universal Testing Machine after a fatigue phase. The data were analyzed by the independent samples T test and Mann-Whitney U test, appropriate post hoc tests. Results In the premolars tested in vitro, the percentage of dentin removed in the premolars with two dental roots in the CEC group (3.85% ± 0.42%) was significantly smaller (P < 0.05) than in the TEC group (4.94% ± 0.5%). The untouched canal wall (UCW) after instrumentation for TECs (16.43% ± 6.56%) was significantly lower (P < .05) than the UCW (24.42% ± 9.19%) for CECs in single-rooted premolars. No significant differences were observed in the increased canal volume and surface areas in premolars between the TEC and CEC groups (P > 0.05). CECs conserved coronal dentin in premolars with two dental roots but no impact on the instrument efficacy. There were no differences between the CEC groups and the TEC groups in the percentage of filling material and voids (P > 0.05). In addition, the mean load at failure of premolars did not significantly differ between the CEC and TEC groups and there was no significant difference in the type of fracture (P > 0.05). Conclusion The results of this study suggest that CEC could not improve the fracture resistance of the endodontically treated premolars. The instrumentation efficacy and the percentage of filling material did not significantly differ between CECs and TECs in premolars.

scholarly journals Impacts of contracted endodontic cavities compared to traditional endodontic cavities in premolars

2020 ◽  
Author(s):  
Xia Juan ◽  
Wang weidong ◽  
Li Zhengmao ◽  
Lin Bingpeng ◽  
Zhang Qian ◽  
...  
Keyword(s):  
Root Canal ◽  
Testing Machine ◽  
Filling Material ◽  
Root Canal Filling ◽  
Surface Areas ◽  
Significant Difference ◽  
3D Printed ◽  
Post Hoc ◽  
Rotary Instrument

Abstract Background: This study aims to compare the percentage of dentin removed, instrumentation efficacy, root canal filling and load at fracture between contracted endodontic cavities, and traditional endodontic cavities on root canal therapy in premolars. Methods: Forty extracted intact human first premolars were imaged with micro-CT and randomly assigned to the contracted endodontic cavity (CEC) or traditional endodontic cavity (TEC) groups. CEC was prepared with the aid of a 3D-printed template, canals were prepared with a 0.04 taper M-Two rotary instrument, and cavities were restored with resin. Specimens were loaded to fracture in an Instron Universal Testing Machine after a fatigue phase. The data were analyzed by the independent samples T test and Mann-Whitney U test, appropriate post hoc tests. Results: In the premolars tested in vitro, the percentage of dentin removed in the premolars with two dental roots in the CEC group (3.85% ± 0.42%) was significantly smaller (P < 0.05) than in the TEC group (4.94% ± 0.5%). The untouched canal wall (UCW) after instrumentation for TECs (16.43% ± 6.56%) was significantly lower (P< .05) than the UCW (24.42% ± 9.19%) for CECs in single-rooted premolars. No significant differences were observed in the increased canal volume and surface areas in premolars between the TEC and CEC groups (P > 0.05). CECs conserved coronal dentin in premolars with two dental roots but no impact on the instrument efficacy. There were no differences between the CEC groups and the TEC groups in the percentage of filling material and voids (P > 0.05). In addition, the mean load at failure of premolars did not significantly differ between the CEC and TEC groups and there was no significant difference in the type of fracture (P > 0.05). Conclusion: The results of this study suggest that CEC could not improve the fracture resistance of the endodontically treated premolars. The instrumentation efficacy and the percentage of filling material did not significantly differ between CECs and TECs in premolars.

scholarly journals Influence of Root Canal Filling Techniques on Sealer Penetration and Bond Strength to Dentin

2017 ◽  
Vol 28 (3) ◽  
pp. 380-384 ◽  
Author(s):  
Luciana Martins Domingues de Macedo ◽  
Yara Silva-Sousa ◽  
Silvio Rocha Corrêa da Silva ◽  
Samantha Schaffer Pugsley Baratto ◽  
Flares Baratto-Filho ◽  
...  
Keyword(s):  
Bond Strength ◽  
Root Canal ◽  
Laser Scanning Microscopy ◽  
Filling Material ◽  
Root Canal Filling ◽  
Significant Difference ◽  
Single Cone ◽  
Ah Plus ◽  
The Impact ◽  
Push Out

Abstract The influence of root canal filling techniques on the penetration of AH Plus into dentinal tubules was evaluated using confocal laser scanning microscopy (CLSM) and the impact on the bond strength of the filling material on the root dentin was evaluated using the push-out test. Roots of the maxillary central incisors (n=40) were prepared with ProTaper Universal and assigned to four groups: lateral condensation, vertical compaction, modified Tagger hybrid and single cone. After root canal filling with gutta-percha and AH Plus, along with the addition of 0.01% fluorescein, the roots were cut into 2-mm slices. CLSM was performed on the first slice of each root third, followed by the push-out test. The second slice was analyzed under SEM. ANOVA demonstrated a statistically significant difference between the root canal filling techniques and the root thirds (p<0.05). For percent penetration, Tukey’s test showed that the vertical compaction (91.77±13.51), lateral condensation (89.18±10.91) and modified Tagger hybrid (87.53±15.42) presented the highest values, which significantly differed (p<0.05) from those of the single cone (78.19±22.46). For bond strength (MPa), lateral condensation (3.42±0.54) and vertical compaction (3.47±0.53) had the highest values (p<0.05), while the modified Tagger hybrid (2.19±0.41) and single cone (0.54±0.21) had the lowest. In conclusion, the lateral condensation, vertical compaction and Modified Tagger’s hybrid techniques resulted in greater penetration and bond strength to the intra-radicular dentin.

scholarly journals Evaluation of Root Canal Filling with a Bioceramic Sealer Using Micro-Computed Tomography: A Pilot Study

2019 ◽  
Vol 890 ◽  
pp. 275-282
Author(s):  
Isabel Vasconcelos ◽  
Mário Rito Pereira ◽  
António Ginjeira ◽  
Margarida C. Franco ◽  
Pedro Morouço ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pilot Study ◽  
Root Canal ◽  
Future Research ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
Single Cone ◽  
Ah Plus

This pilot study aims to define a protocol for optimizing the micro-computed tomography (micro-CT) settings to evaluate in the future research the root canal filling in oval shaped canals. Thirty distal canals of mandibular molars were used. After preparation of the canals, the roots were randomly divided into five groups. The canals were filled with two types of sealers (Endosequence BC Sealer or AH Plus) and two types of gutta percha (Protaper Next cones and Endosequence BC cones), using thermal obturation in comparison with a single cone obturation technique. Each specimen was scanned three times using a micro-CT device at a resolution of 30,1 μm. The first scan was done for selecting the specimen according the inclusion criteria, the second one post-instrumentation and the last micro-CT scan after obturation the specimens. For the present study, the images were only evaluated with qualitative criteria and the settings for acquisition, reconstruction and analysis of micro-CT images were tested.

scholarly journals Influence of Two Root Canal Obturation Techniques with Resin Based Sealer to Enterococcus faecalis Penetration

2019 ◽  
Vol 1 (2) ◽  
pp. 55
Author(s):  
Aryadi Subrata ◽  
Anastasia Elsa Prahasti ◽  
Bernard Ongki Iskandar
Keyword(s):  
Enterococcus Faecalis ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
Single Cone ◽  
Ah Plus ◽  
Bacterial Leakage ◽  
Warm Vertical Compaction

Introduction: Root canal treatment is done to maintain the teeth to last as long as possible in the oral cavity. This can be done with three main stages, such as biomechanical preparation, sterilization and root canal filling. The hermetic seal of root canal filling has an important role in the success of root canal treatment. Objective: The aim of this in-vitro study is to compare the microbial leakage of root canals filled with RealSeal sealer/Resilon Points and AH Plus sealer/conventional gutta-percha points using single cone obturation technique and warm vertical compaction technique. Methods: Thirty-two extracted human mandibular premolars with single canals were decoronated to a standardized root length of 15 mm and prepared using crown-down technique to a master apical file size 30/.09. Teeth were divided into four experimental groups (n = 7 each group) and controls (n = 1 each group). Teeth in the first group were obturated using single master gutta percha cone and AH Plus sealer and second group were obturated with single Resilon gutta percha cone using RealSeal sealer. Third experimental group was filled with warm vertical condensed gutta-percha using AH Plus sealer and fourth group was filled with warm vertical condensed Resilon gutta-percha using RealSeal sealer. The coronal chamber of each sample were inoculated with Enterococcus faecalis. Results: There were no significant differences between the four experimental groups (P = 0.182). The differences occurred only in the survival time from each group. Group 4 (Warm Vertical Condensation - RealSeal) has the lowest leakage rate among other groups and the fastest leakage occurred in group 1 (Single Cone - AH Plus). Conclusion: The single-cone techniques does not insure durable apical seal against bacterial leakage. Warm vertical compaction technique using Resilon gutta-percha and RealSeal sealer appears to be more effective in minimizing bacterial leakage than gutta-percha and AH Plus sealer.

scholarly journals Apical Displacement and Residual Root Canal Filling with Single-Cone After Post Space Preparation: A Micro-CT Analysis

2020 ◽  
Vol 31 (1) ◽  
pp. 25-31
Author(s):  
Camila Maria Peres de Rosatto ◽  
Lilian Vieira Oliveira ◽  
Danilo Cassiano Ferraz ◽  
Priscilla Barbosa Ferreira Soares ◽  
Carlos José Soares ◽  
...  
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Root Canals ◽  
Single Cone ◽  
Before And After ◽  
Ct Analysis ◽  
Post Space ◽  
Apical Displacement

Abstract The purpose of this study was to evaluate the presence of residues after post space preparation (PSP) and establish whether the apical displacement of the gutta-percha was affected by the moments and methods of PSP in teeth filled by the single-cone technique. The root canals of 20 bovine incisor teeth were instrumented with Reciproc and filled with single-cone and AH Plus. The specimens were divided into 4 groups according to the moment and method of PSP (n=5): immediate with drill, immediate with thermoplasticizer, delayed with drill and delayed with thermoplasticizer. Micro-CT scans were performed before and after the PSP for residues of the root canal filling (1) and analysis of apical displacement (2). Data were analyzed by using 2-way repeated measurement ANOVA (1) and 2-way ANOVA (2) followed by the Tukey’s test (a=0.05). Significance effect on the residues percentage remaining for methods (p=0.044), for moments (p=0.006), for thirds repetition (p<0.001), and for interaction between methods and thirds (p<0.001), and moments and thirds (p=0.044). Significance effect on the apical displacement of root canal filing was detected for methods (p=0.008), however no difference was found between moments (p=0.617). In general, PSP using drill resulted in more homogeneous root canal preparation, mainly when made immediately. For all other combinations between methods and moments for PSP, the middle and apical thirds presented significant higher residues remaining. Thermo method performed in both moments and the drill method performed immediately had displacement in the apical direction, representing extrusion of the root filling material.

scholarly journals EFFICACY OF MAXWIRE® ALLOY FILE IN REMOVING THE REMAINS OF ROOT CANAL FILLING MATERIAL IN VITRO

2018 ◽  
Vol 28 (2) ◽  
pp. 46-51
Author(s):  
Martin Hashemi ◽  
Miglė Mackevičiūtė
Keyword(s):  
Root Canal ◽  
Statistical Significance ◽  
Filling Material ◽  
Root Canal Filling ◽  
X Ray ◽  
Significant Difference ◽  
Group 2 ◽  
Endodontic Retreatment ◽  
Group 1

Today it is more and more preferred to preserve teeth with promising prognosis rather than to extract them. The efficiency and the precision of retreatment files to remove filling material are important factors of successful treatment. The aim of this study was to evaluate the efficiency of MaxWire® alloy file in removing root canal filling material after retreatment with endodontic retreatment instruments. Distal roots of twenty human mandibular molars with single and straight canals were selected for this study. All canals were instrumented up to #40/.04 with Bio-race system and apical preparation was finished with Kfile #50/.02. Obturation was performed using lateral condensation technique with ADSEAL sealer. Radiographs were performed in buccolingual and mesiodistal directions with periapical X-ray after obuturation. Teeth were randomly divided into two groups with ten teeth in each. Group 1: removal of root canal filling material was performed using D-race system. Group 2: removal of root canal filling material was performed using D-race system following XP endo Finisher R instrument. Radiographs were performed after retreatment. Residual material was calculated in percentage left in canals. Statistical significance between the two groups were analyzed with t-test. Remnants of root canal filling material was observed in both groups: 38.90% in Group 1 and 13.71% in Group 2, respectively. There was a significant difference between the groups in term of the total root canal filling material (p&amp;lt;0.05). MaxWire® alloy file significantly increased the amount of removed root canal filling material after retreatment with endodontic retreatment instruments.

scholarly journals Evaluation of root canal sealer filling quality using a single-cone technique in oval shaped canals: An In vitro Micro-CT study

Scanning ◽  
2015 ◽  
Vol 38 (2) ◽  
pp. 133-140 ◽  
Author(s):  
Berkan Celikten ◽  
Ceren Feriha Uzuntas ◽  
Ayse Isıl Orhan ◽  
Kaan Orhan ◽  
Pelin Tufenkci ◽  
...  
Keyword(s):  
Root Canal ◽  
Micro Ct ◽  
Root Canal Sealer ◽  
Single Cone
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