scholarly journals Bacterial leakage assessment in root canals sealed with AH Plus sealer modified with silver nanoparticles

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Farzaneh Afkhami ◽  
Shifteh Nasri ◽  
Sara Valizadeh
Keyword(s):  
Silver Nanoparticles ◽  
Root Canal ◽  
Study Groups ◽  
Root Canal Filling ◽  
Root Canals ◽  
Leakage Resistance ◽  
Significant Difference ◽  
Ah Plus ◽  
Bacterial Leakage ◽  
Negative Controls

Abstract Background Successful endodontic therapy requires prevention of bacterial leakage between the root canal filing and root-canal walls. Sealing quality of a root canal filling depends strongly on the sealing ability of the sealer used. The present study aimed to evaluate the bacterial leakage resistance of AH Plus sealer modified with silver nanoparticles. Methods Forty sound teeth were obturated using lateral compaction technique except for five teeth as the negative controls. After considering five teeth as the positive controls (filled without sealer), the remaining teeth were assigned to two groups (n = 15) in terms of the sealer used (AH Plus sealer and silver nanoparticle-modified AH Plus). Bacterial leakage was evaluated in saliva using the two-chamber technique in every 24 h. When all the samples in the test groups were contaminated, the study was terminated. The data were analyzed with log-rank statistical test. Results All samples in both experimental groups were contaminated during the 3-months period of observation. There was no significant difference in contamination time between study groups (P > 0.05). Conclusions Silver nanoparticles used in tested concentration did not improve the bacterial leakage resistance of AH Plus sealer.

scholarly journals Evaluation of the Antibacterial Effect of AH Plus Sealer Modified with Silver Nanoparticles

2021 ◽  
Author(s):  
Farzaneh Afkhami ◽  
Shifteh Nasri ◽  
Sara Valizadeh
Keyword(s):  
Silver Nanoparticles ◽  
Antibacterial Effect ◽  
Study Groups ◽  
Statistical Test ◽  
The Third ◽  
Significant Difference ◽  
Ah Plus ◽  
Bacterial Leakage ◽  
Negative Controls ◽  
Positive Controls

Abstract Background: The present study aimed to evaluate the antibacterial activity of AH Plus sealer modified with silver nanoparticles. Methods: Forty sound teeth were obturated using lateral compaction technique except for five teeth as the negative controls. After considering five teeth as the positive controls, the remaining teeth were assigned to two groups (n=15) in terms of the sealer used (AH Plus sealer and silver nanoparticle-modified AH Plus). Bacterial leakage was evaluated in saliva using the two-wall technique in every 24 hours. When all the samples in the test groups were contaminated, the study was terminated. The data were analyzed with log-rank statistical test.Results: The samples became contaminated with bacteria until the end of the third month in both groups. There was no significant difference in microleakage time between study groups (P>0.05).Conclusions: The incorporation of silver nanoparticles at concentrations tested into the AH Plus sealer did not prevent bacterial leakage.

scholarly journals Comparison of the Effects of a Bioceramic and Conventional Resin-Based Sealers on Postoperative Pain after Nonsurgical Root Canal Treatment: A Randomized Controlled Clinical Study

Materials ◽  
2021 ◽  
Vol 14 (10) ◽  
pp. 2661
Author(s):  
Kiche Shim ◽  
Young-Eun Jang ◽  
Yemi Kim
Keyword(s):  
Postoperative Pain ◽  
Postoperative Period ◽  
Root Canal ◽  
Continuous Wave ◽  
Root Canal Treatment ◽  
Root Canals ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Ah Plus ◽  
Group 2

Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.

scholarly journals Radiographic and scanning electron microscopic assessment of root canal filling remnants after endodontic re-instrumentation

2017 ◽  
Vol 20 (1) ◽  
pp. 80 ◽  
Author(s):  
Luciane Geanini Pena Santos ◽  
Wilson Tadeu Felippe ◽  
Beatriz Dulcineia Mendes Souza ◽  
Andrea Cristina Konrath ◽  
Mabel Mariela Rodríguez Cordeiro ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Root Canal ◽  
Filling Material ◽  
Root Canal Filling ◽  
Root Canals ◽  
Filling Materials ◽  
Ah Plus ◽  
Endodontic Retreatment ◽  
Scanning Electron

<p><strong>Objective: </strong>Failures in endodontic treatment may occur by several reasons. Endodontic retreatment is an interesting alternative to manage this clinical problem. However, it is not possible to completely remove the root canal filling by any current retreatment technique. The aim of this study was to evaluate the presence of residual root canal filling materials after endodontic re-instrumentation. <strong>Material and Methods:</strong> Sixty extracted anterior human teeth were prepared by step-back technique with Flexofiles, K-files and Gates-Glidden (GG) burs. Between the use of each file or bur, root canals were irrigated with sodium hypochlorite (NaOCl). Smear layer was removed by irrigation with ethylenediaminetetraacetic acid and NaOCl. After drying with paper points the root canals were randomly divided into 5 groups (n = 12), according to filling material: Resilon cones/Real Seal sealer or gutta-percha cones and Endofill, Sealapex, AH Plus or MTA Fillapex sealers. After one week, root canal fillings were removed using Eucaliptol and K-files. Root canals were re-instrumented with K-files and GG burs sized larger than the first ones. The removal of root canal filling material was analyzed by radiography and scanning electron microscopy (SEM). Statistical analysis was performed using Binary Logistic Regression test (P &lt; 0.05). <strong>Results: </strong>Radiographic and SEM analysis showed that material from the<strong> </strong>MTA Fillapex group was better removed than that from Endofill, Sealapex, AH Plus and Real Seal groups. <strong>Conclusion: </strong>After re-instrumentation<strong>, </strong>MTA Fillapex group showed less remnants into the root canals than Endofill, Sealapex, AH Plus and Real Seal groups. Residual material was most often found in the apical third.</p><p><strong>Keywords </strong></p><p>Dental radiography; Endodontic retreatment; Root canal filling materials; Scanning electron microscopy.</p>

scholarly journals Effect of a sonic device on bonding of fiberglass posts to root canals

2018 ◽  
Vol 17 ◽  
pp. e18924
Author(s):  
Marina de Almeida Salim ◽  
Thais Mageste Duque ◽  
Heloisa Carla Dell Santo Gusman ◽  
Carolina Oliveira de Lima ◽  
Brenda Paula Figueiredo de Almeida Gomes ◽  
...  
Keyword(s):  
Root Canal ◽  
Adhesive System ◽  
Resin Cement ◽  
Root Canal Filling ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Root Dentin ◽  
Post Hoc ◽  
Adhesive Cement

Aim: This study evaluated the effect of a sonic device on the bonding of fiberglass posts cemented with a self-etching adhesive combined with conventional cement or a self-adhesive cement to root dentin. Methods: Forty single-rooted bovine incisors were endodontically prepared using a step-back technique. Gutta-percha and AH Plus sealer were used for root canal filling, combined with a thermoplasticization technique. After 1 week, the post space was prepared and the roots were divided into four groups according to the following factors: adhesive system/resin cement (Ambar/ AllCem Core [FGM] and RelyX U200 [3M]) and application mode (manual or sonic). The posts were cemented and the roots were cut into discs and submitted to push-out bond strength (POBS) test. The failure mode was evaluated using a stereoscope at 25x magnification. The data were analyzed statistically using ANOVA and Tukey’s post-hoc test (α = 0.05). Results: The sonically activated RelyX U200 group was superior to the other groups. RelyX U200 manually applicated showed similar results to those of sonically activated Âmbar/AllCem. These three groups outperformed the Âmbar/AllCem manually applicated group. Adhesive failure between dentin and resin cement was the most predominant pattern. Conclusion: Sonic application of self-etching adhesive and self-adhesive cement improved the POBS of fiber posts to the root canal.

scholarly journals Influence of gutta-percha points on the filling of simulated lateral canals

2005 ◽  
Vol 13 (2) ◽  
pp. 176-179 ◽  
Author(s):  
Juliana Machado Barroso ◽  
Laise Daniela Carrasco ◽  
Alexandre Capelli ◽  
Danilo Mathias Zanello Guerisoli ◽  
Paulo César Saquy ◽  
...  
Keyword(s):  
Preparation Technique ◽  
Linear Measurements ◽  
Root Canal Filling ◽  
Root Canals ◽  
Gutta Percha ◽  
Significant Difference ◽  
Classic Technique ◽  
Ah Plus ◽  
Group 2

The aim of this study was to investigate, in vitro, the percentage of filling of simulated lateral canals in teeth obturated with TP medium and standardized gutta-percha points. Twenty human mandibular canines were prepared with LA Axxess (SybronEndo) and K³ Endo rotary system (SybronEndo) up to a #50 file, according to the Free Tip Preparation Technique. During instrumentation, the root canals were alternately irrigated with 1% sodium hypochlorite and 17% EDTA. Six artificial lateral canals were prepared at the apical third of each tooth. Then, the teeth were assigned to two groups (n=10): Group 1 - filled with TP medium master gutta-percha points (Dentsply, Mailleffer); Group 2 - filled with standardized master gutta-percha points (Dentsply, Mailleffer). Root canal filling was complemented with AH Plus sealer (Dentsply, Mailleffer) and accessory gutta-percha points (Dentsply, Mailleffer), according to the classic technique. The teeth were radiographed and the images obtained were digitized. Linear measurements of the percentage of filling of the artificial lateral canals in each group were accomplished on the Image Tool 2.02 software. Statistical analysis of the data using Mann-Whitney U non-parametric test evidenced significant difference (p<0.01) between the experimental groups. The group obturated with TP medium points yielded higher percentage of filling of the lateral canals. It may be concluded that the use of master gutta-percha points with larger taper resulted in better filling of the simulated lateral canals, as compared to the use of standardized master gutta-percha points.

scholarly journals The Tubular Penetration Depth and Adaption of Four Sealers: A Scanning Electron Microscopic Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Huan Chen ◽  
Xinyuan Zhao ◽  
Yu Qiu ◽  
Dengyou Xu ◽  
Li Cui ◽  
...  
Keyword(s):  
Penetration Depth ◽  
Root Canal ◽  
Electron Microscopic ◽  
Root Canal Filling ◽  
Adaptation Capacity ◽  
Root Canals ◽  
Filling Materials ◽  
Ah Plus ◽  
Maximum Penetration ◽  
Scanning Electron

Background. The tubular penetration and adaptation of the sealer are important factors for successful root canal filling. The aim of this study was to evaluate the tubular penetration depth of four different sealers in the coronal, middle, and apical third of root canals as well as the adaptation of these sealers to root canal walls. Materials and Methods. 50 single-rooted teeth were prepared in this study. Forty-eight of them were filled with different sealers (Cortisomol, iRoot SP, AH-Plus, and RealSeal SE) and respective core filling materials. Then the specimens were sectioned and scanning electron microscopy was employed to assess the tubular penetration and adaptation of the sealers. Results. Our results demonstrated that the maximum penetration was exhibited by RealSeal SE, followed by AH-Plus, iRoot SP, and Cortisomol. As regards the adaptation property to root canal walls, AH-Plus has best adaptation capacity followed by iRoot SP, RealSeal SE, and Cortisomol. Conclusion. The tubular penetration and adaptation vary with the different sealers investigated. RealSeal SE showed the most optimal tubular penetration, whereas AH-Plus presented the best adaptation to the root canal walls.

scholarly journals Histological analysis of the periapical tissues of dog deciduous teeth after root canal filling with diferent materials

2005 ◽  
Vol 13 (3) ◽  
pp. 318-324 ◽  
Author(s):  
Sueli Satomi Murata ◽  
Roberto Holland ◽  
Valdir de Souza ◽  
Eloi Dezan Junior ◽  
Juliana Aguiar de Grossi ◽  
...  
Keyword(s):  
Root Canal ◽  
Histological Analysis ◽  
Tissue Reaction ◽  
The Other ◽  
Deciduous Teeth ◽  
Control Group ◽  
Root Canal Filling ◽  
Root Canals ◽  
Anterior Teeth ◽  
Significant Difference

The problem of finding an ideal material for filling root canals of deciduous teeth has not been solved yet. This fact led to the development of an experiment to histologically analyze the periapical tissue reaction to 3 root canal filling materials. Eighty root canals of dog deciduous anterior teeth from 6 animals, 60 days old, were used in this study. After biomechanical preparation, the root canals were filled with the following materials: slowly resorbable Maisto paste, Sealer 26 with iodoform, L&C paste (calcium hydroxide with olive oil) and as a control group, canals that were prepared but not filled. At thirty days after the treatment the animals were killed and the teeth prepared for histological analysis. The materials were ranked statistically from the best to the worst as follows: a - Maisto paste, b - Sealer 26 with iodoform, c - control group, d - L&C paste. There was significant difference (p = 0.01) only when the results of the other groups were compared with the L&C paste group. It was also observed that L&C paste was not biologically compatible and that the other materials were biocompatible but their resorption was not at the same rate as that of the deciduous teeth roots.

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 Threshold Values for Root Canal Filling Voids in Micro-CT and Nano-CT Images

Scanning ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Kaan Orhan ◽  
Reinhilde Jacobs ◽  
Berkan Celikten ◽  
Yan Huang ◽  
Karla de Faria Vasconcelos ◽  
...  
Keyword(s):  
Root Canal ◽  
Ct Images ◽  
Void Volume ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Voxel Size ◽  
Significance Level ◽  
Root Canals ◽  
Ah Plus ◽  
Post Hoc

While several materials and techniques have been used to assess the quality of root canal fillings in micro-CT images, the lack of standardization in scanning protocols has produced conflicting results. Hence, the aim of this study was to determine a cutoff voxel size value for the assessment of root canal filling voids in micro-CT and nano-CT images. Twenty freshly extracted mandibular central incisors were used. Root canals were prepared with nickel titanium files to an ISO size 40/0.06 taper and then filled with a single cone (40/0.06 taper) and AH Plus sealer. The teeth were scanned with different voxel sizes with either micro-CT (5.2, 8.1, 11.2, and 16.73 μm) or nano-CT (1.5 and 5.0 μm) equipment. Images were reconstructed and analyzed with the NRecon and CTAn software. Void proportion and void volume were calculated for each tooth in the apical, middle, and coronal thirds of the root canal. Kruskal-Wallis and post hoc Mann–Whitney U tests were performed with a significance level of 5%. In micro-CT images, significantly different results were detected among the tested voxel sizes for void proportion and void volume, whereas no such differences were found in nano-CT images (p>0.05). Micro-CT images showed higher void numbers over the entire root length, with statistically significant differences between the voxel size of 16.73 μm and the other sizes (p<0.05). The values of the different nano-CT voxel sizes did not significantly differ from those of the micro-CT (5.2, 8.1, and 11.2 μm), except for the voxel size of 16.73 μm (p<0.05). All tested voxel sizes enabled the detection of root canal filling voids except for the voxel size of 16.73 μm. Bearing in mind the limitations of this study, it seems that a voxel size of 11.2 μm can be used as a reliable cutoff value for the assessment of root canal filling voids in micro-CT imaging.

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