scholarly journals Evaluation of Three Ni-Ti Systems in Retreatment of Curved Root Canals Obturated by Gutta-Percha With iRoot SP

2021 ◽  
Author(s):  
Yi Chen ◽  
Weiping Tian ◽  
Lisha Wang ◽  
Fan Qi ◽  
Mengyu Sun ◽  
...  
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Micro Ct ◽  
Imaging Data ◽  
Root Canals ◽  
Filling Materials ◽  
Gutta Percha ◽  
Group I ◽  
Root Canal Retreatment ◽  
Curved Root Canals

Abstract Background To evaluate the retreatability of curved root canals obturated with gutta-percha (GP) and iRoot SP using three different Ni-Ti systems through micro-computed tomographic (micro-CT) analysis. Methods A total of 51 curved root canals of permanent molars with angles of curvature ranging from 20° to 40° were used. The root canals were prepared with the ProTaper Next (PTN) rotary system to size 25, .06 taper and filled with iRoot SP and GP using the single cone technique. Samples were randomly divided into three groups (n = 17 each) according to the retreatment system used: Group I. ProTaper Universal Retreatment (PTR) system + ProTaper Next system up to PTN X2; Group II. Waveone Gold (WOG) system (WOG25); Group III. Reciproc Blue (RB) system (RB25). The ability to regain apical patency, the volume of residual filling material, and dentinal microcrack were assessed using micro-CT imaging. Data were analyzed statistically using two-way analysis of variance and chi-square test with a significance level of 5%. Results There were no significant differences among the systems tested in the reestablishment of apical patency and reduction of filling materials (P > 0.05), but RB system exhibited better reestablishment root canal ability in the upper portion of curvature and the reduction of filling materials in the apical third (P < 0.05). Intergroup analysis indicated that PTR system induced significantly more dentinal microcracks than other two systems (P < 0.05). Conclusions All three tested Ni-Ti instruments showed the similar retreatability of curved root canals obturated with gutta-percha and iRoot SP. RB system may be more effective and safer in curved root canal retreatment.

scholarly journals 3D Analysis of D-RaCe and Self-Adjusting File in Removing Filling Materials from Curved Root Canals Instrumented and Filled with Different Techniques

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Neslihan Simsek ◽  
Fuat Ahmetoglu ◽  
Ali Keles ◽  
Elcin Tekin Bulut ◽  
Kursat Er
Keyword(s):  
Ct Scans ◽  
3D Analysis ◽  
Filling Material ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Root Canals ◽  
Filling Materials ◽  
Gutta Percha ◽  
Ah Plus ◽  
Curved Root Canals

The aim of this study was to compare the efficacy of D-RaCe files and a self-adjusting file (SAF) system in removing filling material from curved root canals instrumented and filled with different techniques by using microcomputed tomography (micro-CT). The mesial roots of 20 extracted mandibular first molars were used. Root canals (mesiobuccal and mesiolingual) were instrumented with SAF or Revo-S. The canals were then filled with gutta-percha and AH Plus sealer using cold lateral compaction or thermoplasticized injectable techniques. The root fillings were first removed with D-RaCe (Step 1), followed by Step 2, in which a SAF system was used to remove the residual fillings in all groups. Micro-CT scans were used to measure the volume of residual filling after root canal filling, reinstrumentation with D-RaCe (Step 1), and reinstrumentation with SAF (Step 2). Data were analyzed using Wilcoxon and Kruskal-Wallis tests. There were no statistically significant differences between filling techniques in the canals instrumented with SAF (P=0.292) and Revo-S (P=0.306). The amount of remaining filling material was similar in all groups (P=0.363); all of the instrumentation techniques left filling residue inside the canals. However, the additional use of SAF was more effective than using D-RaCe alone.

scholarly journals GuttaFlow Bioseal as Monocone Obturation Technique in Curved Root Canals: A Scanning Electron Microscopy Study

2021 ◽  
Vol 15 (2) ◽  
pp. 42-59
Author(s):  
Musliana Mustaffa ◽  
◽  
Hajar Ar Rahmah Nasri ◽  
Insyirah Kamarulzaman ◽  
Mohamad Shafiq Mohd Ibrahim ◽  
...  
Keyword(s):  
Surface Area ◽  
Root Canal ◽  
Current Approach ◽  
Filling Material ◽  
Sem Images ◽  
Root Canals ◽  
Gutta Percha ◽  
Curved Root Canals ◽  
Scanning Electron ◽  
Group 1

The obturation quality of GuttaFlow Bioseal in curved root canals is not commonly investigated although there has been a current approach toward utilizing this material in extracted molars in recent years. This study assessed the obturated surface area, extrusion of root filling material beyond the apical foramen and duration of obturation procedure in curved root canals using monocone obturation technique. Access cavity was prepared in 20 human mandibular molars. Root canals with curvature of more than 10 as determined according to Schneider’s method were included. Samples were prepared using Hyflex CM rotary files and divided into two groups (n=10): Group 1 [gutta-percha cone and GuttaFlow Bioseal] and Group 2 [gutta-percha cone and RoekoSeal Automix root canal sealer]. The duration of obturation procedure was recorded and obturation radiographs were taken. Samples were bisected and the mesial roots were sectioned horizontally to obtain 3 root segments; apical, middle and coronal. All resected roots were mounted on brass stubs, sputter-coated with thin platinum coating and observed under scanning electron microscope (SEM) at 70x magnification. The SEM images were transferred to the SketchAndCalc Area Calculator software. No statistically significant differences in the obturated surface area and extrusion of root filling material were observed between Group 1 and 2, irrespective of the status of root canal curvature. Duration for obturation in severe root canal curvatures between Group 1 and 2 were statistically significant. Obturated surface area and extrusion of root filling material were not affected by the root canal curvature, however duration for obturation using GuttaFlow Bioseal in severe root canal curvatures was slightly longer.

scholarly journals Effectiveness of gutta-percha and Resilon in filling lateral root canals using thermomechanical technique

2013 ◽  
Vol 42 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Mário Tanomaru-Filho ◽  
Roberta Bosso ◽  
Arnaldo Sant'anna-Júnior ◽  
Fábio Luiz Camargo Villela Berbert ◽  
Juliane Maria Guerreiro-Tanomaru
Keyword(s):  
Root Canal ◽  
Lateral Root ◽  
Hybrid Technique ◽  
Filling Material ◽  
Significance Level ◽  
Root Canals ◽  
Lateral Canal ◽  
Filling Materials ◽  
Gutta Percha ◽  
Artificial Teeth

OBJECTIVE: The aim of this study was to evaluate the effectiveness of gutta-percha and Resilon in filling lateral root canals in cervical, middle, and apical third using a thermomechanical technique. MATERIAL AND METHOD: Root canals of artificial teeth were prepared using a standard preparation. The lateral canals were fabricated using a 0.3-mm-diameter bur at 3 parts of each root. By using Tagger's hybrid technique with a McSpadden thermomechanical compactor, the root canal was filled using the following filling materials: Dentsply gutta-percha, Endopoint gutta-percha, and Resilon cones. The root canal fillings were evaluated using digitized radiographs and the Image Tool software. The percentage of filled area of each lateral canal was determined. The data were subjected to analysis of variance (ANOVA) and Tukey tests at a 5% significance level. RESULT: Resilon showed better effectiveness as a filling material. When the three thirds were compared, Resilon was more effective in the apical third than in the cervical third (p < 0.05). CONCLUSION: Resilon is an effective filling material for lateral root canals using a thermomechanical technique.

scholarly journals Efficacy of Reciprocating Instruments in the Removal of Bioceramic and Epoxy Resin-Based Sealers: Micro-CT Analysis

Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6670
Author(s):  
Marko Rajda ◽  
Ivana Miletić ◽  
Gorana Baršić ◽  
Silvana Jukić Krmek ◽  
Damir Šnjarić ◽  
...  
Keyword(s):  
Epoxy Resin ◽  
Root Canal ◽  
Filling Material ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Human Teeth ◽  
Root Canals ◽  
Gutta Percha ◽  
Ct Analysis ◽  
Reciprocating Instruments

The objective of this study was to evaluate the efficacy of reciprocating instruments in the removal of bioceramic and epoxy resin-based sealers using micro-CT analysis. Root canals of 40 extracted human teeth were instrumented with a size R25 Reciproc instrument. Specimens were randomly divided into two groups (n = 20) according to the root canal filling material. In the first group, root canals were obturated with AH Plus sealer and Reciproc R25 gutta-percha. In the second group, a combination of bioceramic gutta-percha (TotalFill BC) and bioceramic sealer (TotalFill BC) was used. After one week, the retreatment of all specimens was performed using Reciproc instruments. To analyze the differences in the filling remnants, specimens were scanned in a micro-CT device after obturation and after the retreatment procedure. Statistical analysis was performed using the Mann–Whitney U test (p < 0.05). A combination of bioceramic sealer and bioceramic gutta-percha was more effectively removed from canals using a reciprocating instrument, with a filling remnants volume of 4.01 ± 3.13 mm3, in comparison to the combination of epoxy resin-based sealer and gutta-percha (6.96 ± 2.70 mm3) (p < 0.05). A reciprocating instrument was more effective in removing bioceramic sealers than epoxy resin-based sealers, although none of the root canal filling materials were completely removed from the root canals.

scholarly journals CBCT Evaluation of Gutta-Percha Removal Using ProTaper and Mtwo Retreatment Files, WaveOne, and Hedstrom Files: An Ex Vivo Study

2021 ◽  
Author(s):  
Kumari Madhu ◽  
Priyatam Karade ◽  
Rutuja Chopade ◽  
Yogesh Jadhav ◽  
Kirti Chodankar ◽  
...  
Keyword(s):  
Ex Vivo ◽  
File Systems ◽  
Cone Beam ◽  
Filling Material ◽  
Root Canals ◽  
Filling Materials ◽  
Gutta Percha ◽  
Root Canal Retreatment ◽  
Ex Vivo Study ◽  
One Way Anova

Objectives: This study aimed to evaluate the efficacy of ProTaper, Mtwo, and WaveOne retreatment files and Hedstrom files for removal of gutta-percha from the straight root canals using cone-beam computed tomography (CBCT). Materials and Methods: Forty freshly extracted single-rooted and single-canal teeth were selected for this study. The teeth were decoronated, and biomechanical preparation was performed up to #30 K-file. The root canals were obturated using lateral compaction technique with gutta-percha and Resilon sealer. The teeth were then randomly divided into 4 groups, and CBCT images were obtained. All the canals were then retreated with either ProTaper retreatment files, Mtwo retreatment files, WaveOne files, or Hedstrom files. The surface area of the remaining filling material after the retreatment procedure was quantified by CBCT. Statistical analysis was performed via one-way ANOVA and the Tukey-Kramer multiple comparisons test. Results: None of the file systems could completely remove the filling material from the canals. Data analysis revealed significant differences between the groups in the apical and middle thirds (P<0.05). Conclusion: All the file systems left some filling material in the canals. Mtwo retreatment files had maximum efficacy for removal of filling materials in comparison with other files. WaveOne files can also be used for root canal retreatment.    

scholarly journals Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches

Processes ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 2014
Author(s):  
Leszek A. Dobrzański ◽  
Joanna Dobrzańska ◽  
Lech B. Dobrzański ◽  
Anna D. Dobrzańska-Danikiewicz ◽  
Klaudiusz Gołombek
Keyword(s):  
Development Strategy ◽  
Root Canal ◽  
Virtual Space ◽  
Endodontic Treatment ◽  
Filling Material ◽  
Root Canals ◽  
Filling Materials ◽  
Gutta Percha ◽  
Life Years ◽  
Selection Of

This article is a literature review aimed at presenting the general state of knowledge in manufacturing engineering and materials engineering to develop engineering materials applied for endodontic treatment as filling materials. Particular attention was paid to theoretical analyses concerning the selection of methods for developing and obturating root canals and discussing the results of experimental studies available in the literature. These activities aimed to compare the importance of the most commonly used endodontic filling materials based on gutta-percha or polymeric polyester materials, commonly known as resilon, respectively. The motivation to take up this complex, multi-faceted topic in this paper is the extent of caries, periodontal disease, and other oral diseases in 3 to 5 billion people, often affecting toothlessness and contributing to an increase in the index of disability-adjusted life years (number). Endodontics is an important element of the authors’ concept of Dentistry Sustainable Development (DSD) > 2020. The principles of qualifying patients for endodontic treatment are discussed. The introduction of rotary tools, especially manufactured from Nitinol alloy, to develop root canals and the latest thermohydraulic and condensation techniques for obturation guarantee progress in endodontics. The “Digital Twins” methodology was used, rooted in the idea of Industry 4.0 and the resulting idea of Dentistry 4.0, as well as knowledge management methods, to perform experimental research in virtual space, concerning methods of developing and obturating the root canal and assessing the tightness of fillings. Microscopic visualization methods were also used. Significant factors determining the effectiveness of endodontic obturation are the selection of the filling material and the appropriate obturation method. The generalized dendrological matrix of endodontic filling materials considers the criteria of mechanical strength influencing the potential root fracture and the quality of root canal filling. The results of the SWOT point analysis (strengths and weaknesses, opportunities, threats) were also compared. For both filling materials, the weaknesses are much less than the strengths, while the threats are slightly less than the opportunities for the gutta-percha-based material, while for resilon the opportunities are much smaller than the threats. It requires the application of an appropriate development strategy, i.e., MAXI-MAXI in the case of a filling material based on gutta-percha and MAXI-MINI in the case of resilon. Therefore, the analysis of these experimental data does not indicate the real competitiveness of resilon for the gutta-percha-based material. This material deservedly maintains its strong position as the “Gold Standard of Endodontics”.

scholarly journals Comparative Analysis of Efficacy and Cleaning Ability of Hand and Rotary Devices for Gutta-Percha Removal in Root Canal Retreatment: An in vitro Study

2013 ◽  
Vol 14 (4) ◽  
pp. 635-643 ◽  
Author(s):  
Srikanth Pasari ◽  
Narender Reddy ◽  
Shilpa Reddy Admala ◽  
Sainath Dinapadu ◽  
Manoranjan P Reddy ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Root Canal ◽  
Group Iv ◽  
Frictional Heat ◽  
Root Canals ◽  
Gutta Percha ◽  
Group I ◽  
Working Length ◽  
Root Canal Retreatment

ABSTRACT Aim of the study To evaluate the efficacy and cleaning ability of Hedstrom files, and ProTaper retreatment instruments in removing gutta-percha from root canals with and without xylene as solvent. Materials and methods Sixty extracted single rooted human teeth were selected and decoronated, straight access established working length determined 1 mm short of canal, chemomechanical preparation done and obturated with guttapercha and AH plus sealer. Samples were stored for 1 week in humidifier divided into four groups of 15 teeth each. • Group I Hedstrom files without xylene. • Group II Hedstrom files with xylene. • Group III ProTaper retreatment instruments without xylene. • Group IV ProTaper retreatment instruments with xylene. and the following criteria were assessed – Time taken for initial plunge of instrument into guttapercha. – Time taken for complete removal of gutta-percha to reach working length – Ability of H files and ProTaper retreatment files with/ without xylene to remove gutta-percha in coronal, middle and apical 1/3 of canal. The teeth were grooved in labiolingual cross section, observed under a steromicroscope and scored according to gutta-percha debris left in the canal. Results were evaluated using ANOVA test and multiple comparisons done using Scheffe test. Results The least time to reach working length was found with group IV followed by groups III, II and group I respectively. Also the fastest way to remove maximum gutta-percha was group IV followed by groups III, II, and I respectively with a statistically significant difference among all groups. Apical 1/3 has more amount of remaining gutta-percha debris than middle and coronal 1/3 in all groups. The amount of gutta-percha debris in apical 1/3 was least in group IV followed by groups III, II and I respectively. Discussion The better performance of ProTaper rotary instruments has been attributed to their special flute design which tends to pull gutta-percha coronally directing it toward orifice. Also the movements of engine driven instruments produce frictional heat which plasticises gutta-percha and aids in easy removal. Apical third of root canals showed more gutta percha debris compared to coronal and middle 1/3 and has been attributed to the greater anatomic variability and difficulty of instrumentation in the apical area. The existence of deep groves and depressions on dentine walls in this apical 1/3 make them less instrumented areas as it did be difficult to direct the file against the extreme root canal wall. Conclusion The fastest technique to remove gutta-percha and the shortest time to reach working length was observed with ProTaper retreatment instruments with xylene followed by ProTaper retreatment files without xylene and Hedstrom files without xylene. After instrumentation for removal of gutta-percha, apical third was found to have more debris compared to coronal and middle 1/3 of the root canal. How to cite this article Reddy N, Admala SR, Dinapadu S, Pasari S, Reddy PM, Rao MSR. Comparative Analysis of Efficacy and Cleaning Ability of Hand and Rotary Devices for gutta-percha Removal in Root Canal Retreatment: An in vitro Study. J Contemp Dent Pract 2013;14(4):635-643.

scholarly journals Safety and Effectiveness of Additional Apical Preparation using a Rotary Heat-treated Nickel–Titanium file with Larger Diameter and Minimum Taper in Retreatment of Curved Root Canals

2021 ◽  
Author(s):  
Jader Camilo Pinto ◽  
Fernanda Ferrari Esteves Torres ◽  
Airton Oliveira Santos-Junior ◽  
Marco Antonio Hungaro Duarte ◽  
Juliane Maria Guerreiro-Tanomaru ◽  
...  
Keyword(s):  
Fatigue Resistance ◽  
Continuous Wave ◽  
Cyclic Fatigue ◽  
Nickel Titanium ◽  
Filling Material ◽  
Root Canals ◽  
Filling Materials ◽  
Heat Treated ◽  
Before And After ◽  
Curved Root Canals

Abstract Objective The aim of this study was to investigate the effect of additional apical preparation using the ProDesign Logic (PDL) 50/.01 rotary heat-treated nickel–titanium (NiTi) file with a larger diameter and minimal taper for retreatment of curved root canals. Materials and Methods Mesial curved root canals of 12 mandibular molars were prepared using PDL 25/.06 and filled using the continuous wave of condensation technique and AH Plus sealer. After retreatment using ProDesign S (PDS) 25/.08, PDL 25/.06 and PDL 35/05, a complementary procedure was performed with PDL 50/.01. Microcomputed tomography (micro-CT) scanning was performed before and after retreatment procedures. The cyclic fatigue resistance of unused PDS 25/.08, PDL 25/.06, PDL 35/.05 and PDL 50/.01 instruments (n = 12) was evaluated in a stainless-steel device. Statistical Analysis Data on the volumes of the root canals and the remaining filling materials were submitted to the paired t-test. Cyclic fatigue resistance data was submitted to one-way ANOVA and Tukey’s tests (α = 0.05). Results Use of PDL 50/.01 decreased the remaining filling materials in the apical third (p < 0.05). The root canal volume was similar in the cervical and middle thirds before and after preparation using PDL 50/.01 (p > 0.05). PDL 50/.01 presented the highest cyclic fatigue resistance (p < 0.05). Conclusions Use of the PDL 50/.01 instrument as an additional apical preparation for retreatment of curved root canals improved filling material removal in the apical third, while maintaining the dentin in the cervical and middle thirds. In addition, PDL 50/.01 presented high-flexural resistance.

scholarly journals Micro-CT Evaluation of Root Filling Removal after Three Stages of Retreatment Procedure

2015 ◽  
Vol 26 (6) ◽  
pp. 612-618 ◽  
Author(s):  
Ricardo Abreu da Rosa ◽  
Manuela Favarin Santini ◽  
Bruno Cavalini Cavenago ◽  
Jefferson Ricardo Pereira ◽  
Marco Antônio Húngaro Duarte ◽  
...  
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Tomography System ◽  
Filling Materials ◽  
Ct Evaluation ◽  
Ah Plus ◽  
Post Hoc

The aim of this study was to quantify the residual filling material after filling removal, re-preparation with rotary or reciprocating files and passive ultrasonic irrigation (PUI). Twenty maxillary molars were prepared using ProTaper instruments up to F1. The teeth were filled with AH Plus and ProTaper gutta-percha points using the single-cone technique. Thereafter, the specimens were scanned using a micro-computed tomography system (Micro-CT #1). Then, the root canal filling was removed using ProTaper Retreatment files, and a new scan was performed (Micro-CT #2). The specimens were divided into two groups according to the instrument used for re-preparation: ProTaper rotary or WaveOne reciprocating files (Micro-CT #3). Finally, PUI was performed, and a new micro-CT scan was performed (Micro-CT #4). Intragroup and intergroup analyses were performed using Friedman and Dunn's post hoc test and the Kruskal-Wallis and Dunn post hoc tests, respectively. Palatal canal presented the highest volume of residual filling material in all stages of endodontic retreatment (p<0.05). The main reduction of filling volume was achieved after using ProTaper Retreament (p<0.05). The amount of remaining filling material after using ProTaper Retreatment was similar to that achieved with rotary and reciprocating files and after PUI (p>0.05). Rotary and reciprocating files achieved similar removal of the root canal filling (p>0.05). The greatest reduction in filling material was achieved after using ProTaper Retreatment files. Rotary and reciprocating instruments and PUI did not improve the removal of root canal filling materials.

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