scholarly journals Evaluation of Two Shaping Systems and Two Ultrasonic Irrigation Devices in Removing Root Canal Filling Material from Mesial Roots of Mandibular Molars: A Micro CT Study

2019 ◽  
Vol 7 (1) ◽  
pp. 2 ◽  
Author(s):  
Marc Krikor Kaloustian ◽  
Walid Nehme ◽  
Claire El Hachem ◽  
Carla Zogheib ◽  
Nabil Ghosn ◽  
...  
Keyword(s):  
Ct Scan ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Mandibular Molars ◽  
Group A ◽  
Ultrasonic Irrigation ◽  
Group B ◽  
Group D

We assessed the efficiency of two shaping file systems and two passive ultrasonic irrigation (PUI) devices for removing filling material during retreatment. The mesial canals from 44 extracted mandibular molars were prepared and obturated. The teeth were randomly divided into two groups, and then one group was retreated with Reciproc R25 (VDW, Munich, Germany) (n = 44) and the other group was retreated with 2Shape (TS, Micro Mega, Besançon, France) (n = 44). A micro-computed tomography (CT) scan was taken before and after the retreatment to assess the volume of the filling material remnants. The teeth were then randomly divided into four groups to test two different PUI devices: Irrisafe (Satelec Acteon Group, Merignac, France) and Endo Ultra (Vista Dental Products, Racine, WI, USA). The teeth in Group A were retreated with 2Shape to test the Endo Ultra (n = 22) device, the teeth in Group B were retreated with 2Shape in order to test the Irrisafe (n = 22) device, the teeth in Group C were retreated with Reciproc to test the Endo Ultra (n = 22) device, and Group D was retreated with Reciproc to test the Irrisafe (n = 22) device. A third micro-CT scan was taken after the retreatment to test the PUIs. The percentage of Gutta-Percha (GP) and sealer removed was 94.75% for TS2 (p < 0.001) and 89.3% for R25 (p < 0.001). The PUI significantly enhanced the removal of the filling material by 0.76% for Group A (p < 0.001), 1.47% for Group B (p < 0.001), 2.61% for Group C (p < 0.001), and by 1.66% for Group D (p < 0.001). 2Shape was more effective at removing the GP and sealer during retreatment (p = 0.018). The supplementary approach with PUI significantly improved filling material removal, with no statistical difference between the four groups (p = 0.106).

scholarly journals Comparison of the Efficacy of Different Techniques for the Removal of Root Canal Filling Material in Artificial Teeth: A Micro-Computed Tomography Study

2019 ◽  
Vol 8 (7) ◽  
pp. 984
Author(s):  
Tuan Anh Nguyen ◽  
Yaelim Kim ◽  
Euiseong Kim ◽  
Su-Jung Shin ◽  
Sunil Kim
Keyword(s):  
Computed Tomography ◽  
Conventional Group ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Passive Ultrasonic Irrigation ◽  
Gutta Percha ◽  
Ultrasonic Irrigation ◽  
Artificial Teeth

This study aimed to assess the efficacy of canal filling material removal using three different techniques after filling with a Gutta–Percha (GP) cone and calcium silicate-based sealer, by measuring the percentage of volume debris of GP and sealer remaining intracanal with micro computed tomography (micro-CT). The filling material was removed from 30 plastic teeth by a nickel–titanium (Ni–Ti) rotary retreatment system. Final irrigation was performed with 2 mL of saline and 10 specimens were randomly allocated to a conventional group. In the passive ultrasonic irrigation (PUI) group, ultrasonic irrigation was added to the conventional group (n = 10). In the Gentlefile Brush (GF Brush) group, irrigation with GF Brush was added to the conventional group (n = 10). Remaining filling material was measured using micro-CT imaging analysis. The total mean volume of residual filling material after retreatment in the conventional group, PUI group and GF Brush group were 4.84896 mm3, 0.80702 mm3, and 0.05248 mm3, respectively. The percentage of filling material remaining intracanal was 6.76% in the conventional group, 1.12% in the PUI group and 0.07% in the GF Brush group. This study shows that the cleaning effect of the GF Brush system is superior to those of Ni–Ti retreatment files and the PUI system in the apical area.

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.

Microleakage of Different Temporary Filling Materials in Primary Teeth

2009 ◽  
Vol 34 (2) ◽  
pp. 157-160 ◽  
Author(s):  
Mesut Enes Odabas ◽  
Ozlem Tulunoglu ◽  
Serife Ozdemir Ozalp ◽  
Haluk Bodur
Keyword(s):  
Silver Nitrate ◽  
Primary Teeth ◽  
Filling Material ◽  
Filling Materials ◽  
Anterior Teeth ◽  
Digital Microscope ◽  
Group A ◽  
Group B ◽  
Group D ◽  
Temporary Filling

Objective: The aim of this study was to compare the sealing properties of IRM, Coltosol, Cavit G, Adhesor and Clip, which used as temporary filling material in coronal access openings in extracted human primary teeth. Study Design: Standardized access cavities of 2×2 mm were prepared in the eighty-four, caries-free human primary anterior teeth. The teeth were divided randomly into five groups of 16 teeth each. Temporary restorative materials Group A: IRM (Dentsply), Group B: Coltosol (Coltone), Group C: Cavit G (3M),Group D: Adhesor (Spofa Dental) and Group E: Clip (Voco) were applied according to the manufacturer's directions. The specimens were immersed silver nitrate and placed in film developer under fluorescent for 24 hours. The sectioned specimens were evaluated under a digital microscope at x 20 magnifications and blindly scored for microleakage. Results: Clip presented the least microleakage value whereas; Adhesor and IRM presented the higher microleakage values. There were statistically significant differences between Clip and the others groups, while there were no statistically significant differences in microleakage between IRM,Adhesor, Coltosol and Cavit G. However, the leakage scores of Clip and Cavit G were congruent (p= 0.454).Conclusion: Amongst the five materials, Clip exhibited a better sealing ability.

Effect of bromocriptine and metergoline in the treatment of hyperprolactinaemic states

1982 ◽  
Vol 100 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Bruno Ambrosi ◽  
Pietro Travaglini ◽  
Paola Moriondo ◽  
Marina Nissim ◽  
Claudio Nava ◽  
...  
Keyword(s):  
Ct Scan ◽  
Gonadal Function ◽  
Similar Extent ◽  
Antitumoral Effect ◽  
Length Of Treatment ◽  
Group A ◽  
Group B ◽  
Group D ◽  
Precise Role

Abstract. The effects of bromocriptine or metergoline treatment were evaluated in 80 hyperprolactinaemic patients (62 women and 18 men). The patients were subdivided into 4 groups: group A) 16 women with idiopathic hyperprolactinaemia; group B) 19 women with untreated Prl-secreting microadenomas; group C) 27 women with unsuccessfully operated prolactinomas; group D) 18 men with unsuccessfully treated macroprolactinomas. Sixty-eight patients were given bromocriptine (2.5–20 mg/day) for 3–58 months and 33 patients were given metergoline (4–16 mg/day) for 3–19 months. Bromocriptine and metergoline were equally effective in the treatment of functional hyperprolactinaemia and of untreated microadenomas, while bromocriptine showed a more potent Prl-lowering effect than metergoline in patients with higher Prl levels and large prolactinomas; both drugs restored the gonadal function to a similar extent, though metergoline was effective in some cases, even in the absence of full Prl suppression. Bromocriptine seems to exert an antitumoral effect, as documented by CT scan in some patients with macroadenomas, but the precise role of both drugs with respect to dose, length of treatment and effectiveness after withdrawal needs to be evaluated further.

scholarly journals Retreatment of mesial roots of mandibular molars filled with resin- based and bioceramic sealers

2021 ◽  
Vol 20 ◽  
pp. e210432
Author(s):  
Marina de Almeida Salim ◽  
Fabiola Ormiga ◽  
Ricardo Tadeu Lopes ◽  
Heloisa Gusman
Keyword(s):  
Computed Tomography ◽  
Root Canal ◽  
T Test ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Mandibular Molars ◽  
Ct Analysis ◽  
Ah Plus ◽  
Endodontic Retreatment

Aim: The aim of this study was to evaluate, by micro-computed tomography (micro-CT) analysis, the remaining filling material during endodontic retreatment performed with Protaper retreatment without solvent. Methods: Forty mandibular molars were divided into two groups (n = 20) according to the sealer used in the obturation: the bioceramic TotalFill BC (TF) or the resin-based AH Plus (AHP). The specimens were scanned before instrumentation, after obturation and after filling removal. Only the mesial roots were analysed. The filling volumes and the remaining filling material were calculated in the entire root canal and in the cervical, middle and apical thirds. Results: The volume of obturation and the volume of remaining filling material in the entire root canal and in the cervical, middle and apical thirds of the canal between the groups were not statistically different (independent t-test, p > 0.05). In the AHP group, there was a higher percentage of remaining filling material in the middle third than in the cervical third (p < 0.05). Conclusion: The filling material could not be entirely removed from any specimen.

scholarly journals Impact of Different Irrigant Agitation Methods on Bacterial Elimination from Infected Root Canals

2019 ◽  
Vol 7 (3) ◽  
pp. 64 ◽  
Author(s):  
Wajih Hage ◽  
Roeland J. G. De Moor ◽  
Désirée Hajj ◽  
Germain Sfeir ◽  
Dolla K. Sarkis ◽  
...  
Keyword(s):  
Root Canals ◽  
Root Canal Disinfection ◽  
Infected Root ◽  
Incomplete Removal ◽  
Kolmogorov Smirnov ◽  
Group A ◽  
Ultrasonic Irrigation ◽  
The Mean ◽  
Group B ◽  
Group D

Activation techniques are essential for root canal disinfection but may result in incomplete removal of bacteria. The aim of our study was to assess the antibacterial action of sonically, ultrasonically and laser-activated irrigation and 5.25% sodium hypochlorite (NaOCl) on Enterococcus faecalis in an infected tooth. Forty-four extracted mandibular premolars were mechanically prepared, sterilized, and inoculated with E. faecalis for 1 week. Bacterial counts after inoculation were evaluated in 4 randomly chosen teeth, remaining root canals were divided into 4 groups. Group A: laser-activated irrigation by photon-induced photoacoustic streaming, Group B: the sonic irrigation by EDDY, Group C: ultrasonic irrigation by EndoUltra, and Group D: 5.25% NaOCl. Colony forming unit (CFU) counts were measured and Kolmogorov–Smirnov, Wilcoxon, Kruskal–Wallis and Mann–Whitney tests were used to determine differences. The mean of CFU was found to significantly decrease in group D, 2110 ± 1015.93 (p < 0.001). Changes in measurement levels followed the same trend over time in groups A 27.40 ± 30.15, B 81.3 ± 85.68 and C 44.40 ± 67.12 (p = 0.141). The average CFU after irrigation in all groups was significantly greater than 0. Within the limitations of this study, all activation techniques were superior to NaOCl 5.25% in reducing E. faecalis from the infected tooth model.

scholarly journals Efficacy of Carbamide Peroxide and Sodium Perborate as Bleaching Agent in Non-Vital Discolored Teeth

2021 ◽  
Vol 2 (1) ◽  
pp. 29-34
Author(s):  
Sikander Memon ◽  
Feroze Kalhoro
Keyword(s):  
Root Canal ◽  
Glass Ionomer Cement ◽  
P Value ◽  
Sodium Perborate ◽  
Filling Material ◽  
Carbamide Peroxide ◽  
Root Canal Filling ◽  
Cross Sectional ◽  
Group A ◽  
Group B

To estimate the effectiveness of sodium perborate with carbamide-peroxide (urea peroxide) to remove the staining of non-vital discolored teeth. Comparative cross sectional study. Dental department of operative dentistry, LUMHS, Jamshoro Sindh, Pakistan, from December 15-12-2014 to June 15-6-2015. A total of 160 single rooted teeth with intact clinical crowns have been collected. Using human blood, the teeth were discolored. With the vita shade guide, shades of discolored teeth were taken. Each tooth was handled with the root canal. 2 mm of root-canal-filling material cleaned under the junction of cement-enamel. In addition, it was then coated with glass ionomer cement 1 mm thickness. Teeth were divided randomly into two groups based on bleaching content used in the pulp chamber; group-A (C.P): 16% Carbamide-peroxide. Group-B (S.P): tetra-hydrate sodium-perborate mixed with distilled water. After 21days, the results were checked for efficacy. The analysis included a total of 160 teeth extracted (80 teeth extracted in each group). In group A, 78 (51.7%) found effectiveness compared to 73 (48.3%) in group B. The experimental groups showed statistically similar bleaching results at the end of twenty one days and p value found to be not significantly different (p=0.078). With a significant result, intracoronal bleaching of non-vital colored teeth is less invasive, comparatively safe and effective to remove the staining of non-vital discolored teeth.

scholarly journals Effectiveness of different rotary file systems in removing the root canal filling material: A micro-computed tomography study

2021 ◽  
Vol 15 (4) ◽  
pp. 273-278
Author(s):  
Esin Özlek ◽  
Hüseyin Gündüz
Keyword(s):  
Computed Tomography ◽  
Root Canal ◽  
File System ◽  
File Systems ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Root Canals ◽  
Time Required

Background. This study aimed to examine the retreatment efficiency of four NiTi rotary file systems with micro-computed tomography (micro-CT). Methods. Forty premolar teeth were shaped up to F2 using the ProTaper Universal rotary file system and obturated with MTA Fillapex. The root canals were scanned with micro-CT to evaluate the volume of root canal filling before retreatment. The samples were randomly divided into four groups according to the file system used to remove root canal filling material (n=10): ProTaper Universal Retreatment, ProTaper NEXT, EdgeFile XR, and EdgeFile® X3 NiTi system. All the samples were scanned with a micro-CT device for the second time to evaluate the amount of residual filling material in the root canals. The percentages of filling material removed from root canals were calculated. Additionally, the time spent on the removal of the root canal filling material was recorded. The data were analyzed using the Shapiro-Wilk and Kruskal-Wallis tests. Results. There were no significant differences between the groups in the percentage of root canal filling material removal. However, a statistically significant difference was found between the groups in the time required to reach the apex and remove the entire filling material. The time required to remove the root canal filling material was higher in the EdgeFile® X3 group. Conclusion. NiTi files manufactured for root canal preparation can be used effectively and safely to remove root canal filling materials. EdgeFile XR produced for retreatment can be used as an alternative to ProTaper Universal Retreatment files.

scholarly journals Assessment of the Antibacterial Property of Mineral Trioxide Aggregate and Glass Ionomer Cement Mixture

2020 ◽  
pp. 58-64
Author(s):  
Ankita Komal Labh ◽  
Anjaneyulu K. ◽  
Muralidharan N. P.
Keyword(s):  
Antibacterial Property ◽  
Glass Ionomer Cement ◽  
Mineral Trioxide Aggregate ◽  
Diffusion Method ◽  
Filling Material ◽  
Glass Ionomer ◽  
Group A ◽  
Group B ◽  
Group D ◽  
Ionomer Cement

Mineral trioxide aggregate (MTA) is an experimental material used for the capping of pulps as well as a root end filling material. Glass ionomer cement (GIC) is a widely used dental restorative due to its high mechanical strength and antibacterial function. The aim of this study is to assess the antibacterial property of MTA when mixed with GIC. The study comprised four groups with 5 samples each: Group A (MTA), group B (GIC), groups C (MTA+GIC+MTA Liquid) and group D (MTA+GIC+GIC Liquid). All samples were tested against Enterococcus faecalis using Agar well diffusion method in Tryptone soya agar. The One-way ANOVA test was employed using the Statistical Package for Social Sciences (SPSS) for MacOS (Version 19, 2010) with the level of significance set at P<0.05. The average zone of inhibition of group A was 18.6 ± 1.714 mm, group B was 0.4 ± 0.548 mm, group C was 18.6 ± 2.608 mm and group D was 12.8 ± 2.168 mm. Data was statistically significant, F(3,16)=11.631, P<0.001. The antibacterial activity of MTA and MTA when mixed with GIC and MTA liquid is similar but better than other study groups.

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