scholarly journals Effect of Sonic Agitation of a Binary Mixture of Solvents on Filling Remnants Removal as an Alternative to Apical Enlargement—A Micro-CT Study

2020 ◽  
Vol 9 (8) ◽  
pp. 2465
Author(s):  
Inês Ferreira ◽  
Pedro S. Babo ◽  
Ana Cristina Braga ◽  
Manuela E. Gomes ◽  
Irene Pina-Vaz
Keyword(s):  
Binary Mixture ◽  
Methyl Ethyl Ketone ◽  
Solvent Mixture ◽  
Methyl Ethyl ◽  
Micro Computed Tomography ◽  
Significance Level ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Mandibular Incisors

Background: This work aimed to evaluate the efficacy of sonic agitation of a binary mixture of solvents (methyl ethyl ketone/tetrachloroethylene) on filling remnants removal and compare the effects of solvent agitation with the enlargement to the next instrument size. Methods: Twenty-four mandibular incisors were prepared with ProTaper Next (X1, X2) and obturated with the single-cone technique and AH Plus sealer. The teeth were retreated with ProTaper Universal Retreatment and ProTaper Next and divided into two groups (n = 12) according to the final instrument (X3 or X4). All canals were submitted to a supplementary procedure consisting of a mixture of solvents―methyl ethyl ketone/tetrachloroethylene, agitated with EndoActivator. The volume of filling remnants was assessed through micro-computed tomography in the apical 5 mm. Statistical analysis was performed with a significance level of 5%. Results: The supplementary procedure of agitation of the solvent mixture was beneficial in both groups (p < 0.05). There were no statistically significant differences between canals re-prepared until X4 and canals re-prepared until X3 plus solvent (p > 0.05). Conclusions: An additional step with a two-solvent solution potentiated by EndoActivator showed to be very effective for the removal of gutta-percha and resinous sealer remnants from apical root canals of mandibular incisors, avoiding further enlargement.

scholarly journals The Effect of Ultrasonic Agitation on the Porosity Distribution in Apically Perforated Root Canals Filled with Different Bioceramic Materials and Techniques: A Micro-CT Assessment

2021 ◽  
Vol 10 (21) ◽  
pp. 4977
Author(s):  
Saulius Drukteinis ◽  
Goda Bilvinaite ◽  
Hagay Shemesh ◽  
Paulius Tusas ◽  
Vytaute Peciuliene
Keyword(s):  
Root Canal ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Porosity Distribution ◽  
Significance Level ◽  
Ultrasonic Agitation ◽  
Root Canals ◽  
Gutta Percha ◽  
Before And After ◽  
Rotary Instrument

The present study evaluated the effect of ultrasonic agitation on the porosity distribution of BioRoot RCS/single gutta-percha cone (BR/SC) and MTA Flow (MF) root canals fillings used as apical plugs in moderately curved and apically perforated roots. Eighty mesial root canals of mandibular first molars were enlarged up to ProTaper NEXT X5 rotary instrument 2 mm beyond the apical foramen, simulating apical perforations. Specimens were randomly divided into four experimental groups (20 canals per group) according to the material and technique used for root canal obturation: BR/SC, BR/SC with ultrasonic agitation (BR/SC-UA), MF and MF with ultrasonic agitation (MF-UA). The ultrasonic tip was passively inserted into the root canal after the injection of flowable cement and activated for 10 s. The specimens were scanned before and after obturation with a high-resolution micro-computed tomography scanner, and the porosity of the apical plugs was assessed. The differences between groups were analyzed using the Kruskal-Wallis and Mann-Whitney tests, with the significance level set at 5%. None of the obturation materials and techniques used in this study was able to provide a pore-free root canal filling in the apical 5 mm. Considerably higher percentages of open and closed pores were observed in the MF and MF-UA groups, with the highest porosity being in the MF-UA group (p < 0.05). No significant differences were observed between the BR/SC and BR/SC-UA groups, where the quantity of open and closed pores remained similar (p > 0.05).

scholarly journals Microcomputed Tomographic Assessment of the Single Cone Root Canal Fillings Performed by Undergraduate Student, Postgraduate Student and Specialist Endodontist

2021 ◽  
Vol 10 (5) ◽  
pp. 1080
Author(s):  
Saulius Drukteinis ◽  
Goda Bilvinaite ◽  
Paulius Tusas ◽  
Hagay Shemesh ◽  
Vytaute Peciuliene
Keyword(s):  
Undergraduate Student ◽  
Root Canal ◽  
Postgraduate Student ◽  
Micro Computed Tomography ◽  
Dominant Type ◽  
Significance Level ◽  
Isotropic Resolution ◽  
Root Canals ◽  
Gutta Percha ◽  
Single Cone

The present study evaluated the obturation quality of root canals filled with BioRoot RCS sealer and single gutta-percha point by undergraduate student (US), postgraduate student (PS) and endodontist (ED). Twenty-one plastic models of upper premolars were enlarged with HyFlex EDM instruments to a size 40/0.04 taper and randomly divided into three groups (7 teeth/14 canals per group): US, PS and ED. After the obturation of root canals with BioRoot RCS and one HyFlex EDM size 40 gutta-percha point, plastic models were scanned using micro-computed tomography scanner (µCT) SkyScan 1272 at isotropic resolution of 10 µm. The porosity distribution was evaluated separately for the apical, middle and coronal thirds. The Kruskal–Wallis, Mann–Whitney, Friedman and Wilcoxon tests with the significance level set at 5% were used for data analysis. The µCT evaluation revealed open pores being the dominant type of porosity in all experimental groups and root canal thirds, with the highest percentage of pores in the apical third of root canal fillings. The quality and homogeneity of single cone root canals fillings remained similar between the groups in the apical and middle thirds (p > 0.05). Significant differences were observed only in the coronal third (p < 0.05).

scholarly journals Supplementary solvent irrigation efficacy on filling remnants removal comparing XP-endo Finisher R vs IrriSafe

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Inês Ferreira ◽  
Pedro S. Babo ◽  
Ana Cristina Braga ◽  
Maria Ascensão Lopes ◽  
Manuela E. Gomes ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Solvent Mixture ◽  
Filling Material ◽  
Methyl Ethyl ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Total Recovery ◽  
Significance Level ◽  
Filling Materials ◽  
Initial Root

AbstractThis study aimed to compare the efficacy of XP-endo Finisher R and IrriSafe, with a solvent mixture of Methyl ethyl ketone/Tetrachloroethylene (MEK/TCE), in the removal of root filling residues. Twenty-four human mandibular incisors were pair-matched by micro-computed tomography according to volume and aspect ratio. After retreatment, specimens were allocated to two experimental groups (n = 12), according to the supplementary instrument used. The volume of residual filling material after each irrigating step and the time for retreatment was calculated. Statistical analyses were carried out using Mann–Whitney test, with a significance level of 5%. The volume of initial root canal filling material between the groups was similar (p > 0.05). With the final irrigation protocol (NaOCl and EDTA) the volume of the filling remnants decreased significantly (p < 0.05) with no differences between IrriSafe or XP-endo Finisher R (p > 0.05). The additional solvent mixture MEK/TCE increased the efficiency of filling materials reduction, regardless of the agitating instruments employed, IrriSafe or XP-endo Finisher R (p < 0.05). There was no difference between the two groups regarding the time (p = 0.149). Both supplementary instruments were effective in the reduction of filling remnants. The additional step with a solvent mixture of MEK/TCE enabled a total recovery of patency and the achievement of cleaner canals, independently of the agitation instrument.

scholarly journals Porosity Distribution in Single Cone Root Canal Fillings Performed by Operators with Different Clinical Experience: A microCT Assessment

2021 ◽  
Vol 10 (12) ◽  
pp. 2569
Author(s):  
Saulius Drukteinis ◽  
Goda Bilvinaite ◽  
Paulius Tusas ◽  
Hagay Shemesh ◽  
Vytaute Peciuliene
Keyword(s):  
Root Canal ◽  
Micro Computed Tomography ◽  
Porosity Distribution ◽  
Significance Level ◽  
Root Canals ◽  
Gutta Percha ◽  
General Dental Practitioner ◽  
Single Cone ◽  
Maxillary Premolars ◽  
Computed Tomography Scanner

The objective of this study was to assess the porosity distribution of BioRoot RCS/single gutta-percha point root-canal fillings performed by a general dental practitioner and endodontist. Fourteen plastic models of maxillary premolars with two roots were selected and shaped with HyFlex EDM instruments to a size 40/0.04 taper and randomly divided into two experimental groups. A total of 14 canals in each group were obturated by two different operators with one HyFlex EDM size 40 gutta-percha point and BioRoot RCS sealer. The specimens were scanned with a high-resolution micro-computed tomography scanner, and the porosity of the fillings at the coronal, middle, and apical thirds of the root canals was qualified and quantified. The differences between groups and root-canal thirds were compared using Mann–Whitney, Friedman, and Wilcoxon tests with the significance level set at p < 0.05. The highest number of pores was observed in the apical third of root-canal fillings in both groups; however, the porosity distribution between the two groups was not significantly different in the apical and middle thirds (p > 0.05). Statistically significant differences were determined only in the coronal third (p < 0.05). The predominance of open pores was detected in all root-canal thirds and groups, with no significant differences in the number of open pores between the coronal and middle thirds (p > 0.05).

scholarly journals Evaluation of Apical Sealing Ability of Four Different Sealers using Centrifuging Dye Penetration Method: An in vitro Study

2012 ◽  
Vol 13 (6) ◽  
pp. 830-833
Author(s):  
Romel Joseph
Keyword(s):  
In Vitro Study ◽  
Blue Dye ◽  
Control Groups ◽  
Root Canals ◽  
Dye Penetration ◽  
Gutta Percha ◽  
Sealing Ability ◽  
Ah Plus ◽  
And Control

ABSTRACT Aim The aim of this in vitro study was to evaluate the apical seal obtained with four root canal sealers AH 26, Sealapex, Endoflas FS and AH Plus, with lateral condensation. Materials and methods Sixty root canals were prepared using the step-back technique. The specimens were divided into four experimental groups of 12 teeth and two control groups of 12 teeth. The experimental groups were obturated by laterally condensed gutta-percha with one of the tested sealers and control groups were obturated without any sealer. Methylene blue dye penetration with centrifuging method was used to evaluate the apical sealing ability. The quantitative apical leakage of each specimen was measured after 2 weeks. Results The results showed no significant differences between all groups except between AH Plus and Endoflas FS (<0.05). AH Plus showed significantly less leakage than Endoflas FS. Conclusion AH Plus showed the least leakage compared to AH 26, Sealapex and Endoflas FS. How to cite this article Joseph R, Singh S. Evaluation of Apical Sealing Ability of Four Different Sealers using Centrifuging Dye Penetration Method: An in vitro Study. J Contemp Dent Pract 2012;13(6):830-833.

scholarly journals Radiographic analysis of root canal fillings: influence of two sealers on the perception of voids

2010 ◽  
Vol 21 (2) ◽  
pp. 142-147 ◽  
Author(s):  
Augusto Bodanezi ◽  
Etiene de Andrade Munhoz ◽  
Norberti Bernardineli ◽  
Ana Lúcia Álvares Capelozza ◽  
Ivaldo Gomes de Moraes ◽  
...  
Keyword(s):  
Sensitivity And Specificity ◽  
Root Canal ◽  
Ex Vivo ◽  
Radiographic Analysis ◽  
Radiographic Images ◽  
Significance Level ◽  
Root Canals ◽  
Gutta Percha ◽  
Root Canal Sealers

The aim of this ex vivo was to investigate if two radiopaque root canal sealers with different formulations would influence the radiographic perception of root canal fillings. The root canals of 48 extracted maxillary canines were prepared and randomly assigned to 3 groups of 16 specimens each. In each group, the root canals were filled by lateral condensation of gutta-percha and one of the tested sealers: Endométhasone, Sealer 26, or a non-radiopaque sealer. A through-and-through void was simulated in half of the specimens from each group (n=8). The buccolingual radiographic images obtained were randomly interpreted for voids existence by a radiologist and an endodontist. The differences in sensitivity and specificity between groups and examiners were compared using, respectively, Fisher's Exact and McNemar tests at 5% significance level. Both radiopaque sealers caused a significant decrease in sensitivity at the coronal part of fillings. The use of Endométhasone increased specificity values for both coronal and apical portions of the root canal fillings. In conclusion, the tested sealers influenced the radiographic perceptions of laterally condensed root canal fillings in a different way.

scholarly journals Influence of calcium hydroxide points on the quality of intracanal dressing filling

2006 ◽  
Vol 14 (3) ◽  
pp. 219-223 ◽  
Author(s):  
Nicole de Mello Rahde ◽  
José Antonio Poli Figueiredo ◽  
Elias Pandonor Motcy Oliveira
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal Filling ◽  
Human Teeth ◽  
Significance Level ◽  
Root Canals ◽  
Gutta Percha ◽  
Group 2 ◽  
Post Hoc

PURPOSE: The aim of this study was to evaluate, in vitro, the quality of calcium hydroxide [Ca(OH)2] paste filling (Ultracal, Ultradent) associated or not with Ca(OH)2-containing gutta-percha points (Calcium Hydroxide Plus PointsTM, Roeko) in curved root canals. MATERIAL AND METHODS: One hundred and twenty roots of extracted human teeth, randomly divided into three curvature ranges (mild - 0 to 14º; moderate - 15º to 29º; severe - >30º) were used. After chemomechanical preparation, the roots were assigned to 4 groups (n=30), according to the technique of intracanal dressing placement: group 1 - Ca(OH)2 paste was applied with a lentulo spiral; group 2 - Ca(OH)2 paste was applied with a lentulo spiral and a Ca(OH)2 point was inserted into the canal; group 3 - Ca(OH)2 paste was applied with a NavitipTM tip (supplied with Ultracal system); group 4 - Ca(OH)2 paste was applied with a NavitipTM tip and a Ca(OH)2 point was inserted into the canal. The roots were cleared and the quality of apical third filling was assessed by a calibrated experienced examiner. The specimens were examined under stereomicroscopy and scored 1 to 4 (i.e., from inadequate to complete root canal filling). The results were analyzed statistically by ANOVA and Duncan's post hoc test at 5% significance level. RESULTS: There were no statistically significant differences (p>0.05) among the curvature degrees in groups 1, 3 and 4. Severely curved roots in group 2 presented bordering significance (p=0.05). The groups that associated the use of Ca(OH)2 paste and points (2 and 4) showed better apical filling than the other groups, but this difference was statistically significant (p<0.001) only for roots with severe curvature. CONCLUSION: According to the results of this study, the curvature degree did not influence the quality of filling. The techniques that used Ca(OH)2-containing gutta-percha points yielded better filling of the apical third in roots with severe curvature.

scholarly journals Effectiveness of lateral and secondary canal filling with different endodontic sealers and obturation techniques

2017 ◽  
Vol 22 (2) ◽  
Author(s):  
Camila Krusser Teixeira ◽  
Sabrina Sasso Da Silva ◽  
Silvana Beltrami Gonçalves Waltrick ◽  
Renata Dornelles Morgental ◽  
Fabiana Vieira Vier-Pelisser ◽  
...  
Keyword(s):  
Root Apex ◽  
Hybrid Technique ◽  
Linear Measurements ◽  
Human Teeth ◽  
Significance Level ◽  
Root Canals ◽  
Significant Difference ◽  
Ah Plus ◽  
Imagej Software ◽  
Post Hoc

Objective: The aim of this study was to compare the performance of the new endodontic sealer GuttaFlow 2 with conventional sealers (AH Plus and EndoFill) in filling artificial lateral and secondary root canals, using two obturation techniques (cold lateral condensation and Tagger’s hybrid technique). Methods: Sixty single-rooted human teeth were selected and submitted to root canal preparation. Next, specimens were subjected to a tooth decalcification and clearing method. Artificial lateral and secondary canals were created at 2, 5, 9 and 12 mm from the root apex. The specimens were divided into 6 groups (n=10) according to the endodontic sealer (GuttaFlow 2, AH Plus or EndoFill) and the obturation technique (cold lateral condensation or Tagger’s hybrid technique). Filling of lateral and secondary canals was analyzed by stereomicroscopy. Images were obtained and transferred to the ImageJ software. Mean percentages of filling were calculated, considering total linear measurements of artificial canals and their filled portions. Data were compared by two-way ANOVA, followed by Bonferroni post-hoc test, at 5% significance level. Results: All materials showed the capacity of penetrating into artificial lateral and secondary canals. There was no significant difference (P>0.05) between sealers and obturation techniques. Only GuttaFlow 2 showed significant better flow into lateral canals compared to secondary canals (P

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