scholarly journals Could the Calcium Silicate-Based Sealer Presentation Form Influence Dentinal Sealing? An In Vitro Confocal Laser Study on Tubular Penetration

Materials ◽  
2021 ◽  
Vol 14 (3) ◽  
pp. 659
Author(s):  
Paula Muedra ◽  
Leopoldo Forner ◽  
Adrián Lozano ◽  
José L. Sanz ◽  
Francisco J. Rodríguez-Lozano ◽  
...  
Keyword(s):  
Study Groups ◽  
Confocal Laser ◽  
Control Group ◽  
Dentinal Tubule ◽  
Human Teeth ◽  
Old Patients ◽  
Root Canals ◽  
Group 2 ◽  
Tubule Penetration

Dentinal tubule penetration influences root canal treatment sealing. The aim of this study was to compare dentinal penetration of two clinical presentations of silicate-based sealers using confocal laser. Sixty single-rooted human teeth from 50–70 year-old patients extracted for orthodontic/periodontal reasons were used. Canals were prepared using Mtwo system up to 35/0.04, with 5.25% NaOCl irrigation and final irrigation using 17% EDTA. Teeth were randomly assigned into study groups (ni = 20): EndoSequence BC sealer (ES, group 1), BioRoot RCS (BR, group 2); and a control group (nc = 20) with AH Plus (AHP). Root canals were obturated with 35/0.04 gutta-percha (single-cone technique). The samples were obtained from apical, middle, and coronal thirds. Dentinal tubule penetration depth and percentage of penetration around the canal perimeter were measured. The statistical analysis was performed using Mann Whitney U test and Wilcoxon t-test (95% confidence interval). ES exhibited a significantly higher penetration than AHP in apical and middle thirds (p < 0.05), and in middle and coronal thirds relative to BR (p < 0.05). The percentage of penetration around the canal perimeter was significantly higher for ES compared to BR in all thirds, but only in the apical third for AHP (p < 0.05). The pre-mixed silicate-based sealer exhibited better penetration than the powder/liquid one.

scholarly journals Effects of Dentifrices Containing Nanohydroxyapatite on Dentinal Tubule Occlusion—A Scanning Electron Microscopy and EDX Study

2020 ◽  
Vol 10 (18) ◽  
pp. 6513
Author(s):  
Emilia Bologa ◽  
Simona Stoleriu ◽  
Gianina Iovan ◽  
Cristina Angela Ghiorghe ◽  
Irina Nica ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Study Groups ◽  
Control Group ◽  
Dentinal Tubule ◽  
Human Teeth ◽  
Dentinal Tubules ◽  
Mineral Deposition ◽  
Tubule Occlusion ◽  
Scanning Electron

This in vitro study evaluated the effects of dentifrices containing nano-hydroxyapatite (n-HAp) on dentinal tubule occlusion and on mineral deposition. Dentin specimens of ten human teeth were submersed for 30 s in 40% citric acid and then randomly divided into four groups (three study groups and one control group). In the study groups, the dentin samples were exposed to three different n-HAp toothpastes: Karex (Dr. Kurt Wolff GmbH & Co. KG, Bielefeld, Germany), Biorepair Plus Sensitive (Coswell SpA, Bologna, Italy), and Dr. Wolff’s Biorepair (Dr. Kurt Wolff GmbH & Co. KG, Bielefeld, Germany); in the control group no toothpaste was applied. All of the samples were evaluated using scanning electron microscopy (SEM) and energy-dispersive X-ray (EDX) analysis. In the control group all of the samples showed a frank and wide opening of the dentinal tubules, whereas in the study groups different degrees of tubule closure by mineral depositions were observed. Toothpastes containing n-HAp determined a significant occlusion of dentinal tubules and a significant increase of mineral deposition on the dentin surface. All three tested toothpastes showed similar results regarding the degree of dentinal tubule closure. Varying degrees of differences in calcium, phosphate, carbon, and oxygen ion concentrations among the three tested toothpastes were obtained.

scholarly journals Effect of Different Irrigation Solutions on the Diffusion of MTA Cement into the Root Canal Dentin

Materials ◽  
2020 ◽  
Vol 13 (23) ◽  
pp. 5472
Author(s):  
José Pedro Martinho ◽  
Sara França ◽  
Siri Paulo ◽  
Anabela Baptista Paula ◽  
Ana Sofia Coelho ◽  
...  
Keyword(s):  
Root Canal ◽  
Ethylenediaminetetraacetic Acid ◽  
Treatment Success ◽  
Confocal Laser ◽  
Control Group ◽  
Middle Section ◽  
Group 2 ◽  
Root Canal Dentin ◽  
Group 1

(1) Aim: This study aims to analyze the in vitro infiltration of a silicate root canal sealer into dentinal tubules after using different endodontic irrigating solutions. (2) Methods: Twenty-nine teeth with single roots were separated into three groups according to the final irrigation protocol: G1 n = 10) = 17% EDTA (ethylenediaminetetraacetic acid) + 3.0% sodium hypochlorite (NaOCl), G2 (n = 10) = 17% EDTA + 2.0% chlorhexidine and G3 (Control group, n = 9) = 17% EDTA + saline solution. Root canals were filled using cold lateral compaction technique with MTA Fillapex sealer and gutta-percha. The sealer was labeled with rhodamine B. The teeth were segmented at the middle and third apical sections, which were visualized using 10× confocal laser microscopy to determine the sealer penetration percentage. (3) Results: In the apical section, no statistically significant differences were found between the groups regarding sealer penetration. In the middle section, Group 1 obtained the highest percentage, and Group 2 the lowest (p = 0.004). Group 1 also presented statistically significant differences in the Control Group (p = 0.031) and had close sealer penetration values. Meanwhile, the Control Group (p = 0.023) and Group 2 (p = 0.029) revealed a significant decrease of sealer penetration between the apical and middle sections. (4) Conclusion: The obtained results support that final irrigation with NaOCl promoted similar sealer penetration in the apical and middle sections. On the other hand, a significant decrease in the sealer penetration of the middle section was observed for the chlorhexidine and saline groups. Compared to other irrigant solutions, NaOCl promotes more uniform sealer penetration, which can correlate with better sealing and, consequently, higher endodontic treatment success.

scholarly journals Antimicrobial efficiency of photodynamic therapy with different irradiation durations

2013 ◽  
Vol 07 (04) ◽  
pp. 469-473 ◽  
Author(s):  
Cihan Yildirim ◽  
Emine Sirin Karaarslan ◽  
Semih Ozsevik ◽  
Yasemin Zer ◽  
Tugrul Sari ◽  
...  
Keyword(s):  
Enterococcus Faecalis ◽  
Brain Heart Infusion ◽  
Control Group ◽  
Test Results ◽  
Human Teeth ◽  
Root Canals ◽  
Single Root ◽  
Antimicrobial Efficiency ◽  
Before And After ◽  
Group 2

ABSTRACT Objective: This study aimed to evaluate the antimicrobial efficiency of PDT and the effect of different irradiation durations on the antimicrobial efficiency of PDT. Materials and Methods: Sixty freshly extracted human teeth with a single root were decoronated and distributed into five groups. The control group received no treatment. Group 1 was treated with a 5% sodium hypochlorite (NaOCl) solution. Groups 2, 3, and 4 were treated with methylene-blue photosensitizer and 660-nm diode laser irradiation for 1, 2, and 4 min, respectively. The root canals were instrumented and irrigated with NaOCl, ethylenediamine-tetraacetic acid, and a saline solution, followed by autoclaving. All the roots were inoculated with an Enterococcus faecalis suspension and brain heart infusion broth and stored for 21 days to allow biofilm formation. Microbiological data on microorganism load were collected before and after the disinfection procedures and analyzed with the Wilcoxon ranged test, the Kruskal-Wallis test, and the Dunn′s test. Results: The microorganism load in the control group increased. The lowest reduction in the microorganism load was observed in the 1-min irradiation group (Group 2 = 99.8%), which was very close to the results of the other experimental groups (99.9%). There were no significant differences among the groups. Conclusions: PDT is as effective as conventional 5% NaOCl irrigation with regard to antimicrobial efficiency against Enterococcus faecalis.

scholarly journals Adhesion of Two New Glass Fiber Post Systems Cemented with Self-Adhesive Resin Cements

2019 ◽  
Vol 7 (3) ◽  
pp. 80 ◽  
Author(s):  
Esin Özlek ◽  
Prasanna Neelakantan ◽  
Jukka Pekka Matinlinna ◽  
Sema Belli ◽  
Mehmet Ugur ◽  
...  
Keyword(s):  
Bond Strength ◽  
Adhesion Strength ◽  
In Vitro Study ◽  
Study Groups ◽  
Fiber Post ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Root Canals ◽  
Group 2

The aim of this in vitro study was to evaluate the adhesion strength of two new fiber post systems (FiberSite™ Post and Cytec™ Blanco Post) cemented with two different adhesive resin cements (Panavia™ SA and Maxcem™ Elite). Root canals of sixty extracted human mandibular premolars were prepared using ProTaper Universal™ rotary files (Dentsply Sirona Endodontics, York, PA, USA). The root canals were irrigated with 5.25% sodium hypochlorite (NaOCl) during instrumentation. After root canal preparation, the canals were irrigated with 2 mL of 17% EDTA (1 min), followed by 2 mL of 5.25% (5 min) NaOCI, and 2 mL saline. The root canals were dried with paper points and divided randomly into two study groups (n = 30) according to the type of post system: Group 1, FiberSite™ Post (MegaDental, Partanna, Italy); and group 2, Cytec™ Blanco Post (Hahnenkratt, Königsbach-Stein, Germany), with one of the two adhesive resin cements: Subgroup A, Panavia™ SA Cement Plus Automix (Kuraray, Osaka, Japan); subgroup B, Maxcem™ Elite (Kerr, Orange, CA, USA). Following thermocycling, the adhesion strength was evaluated using the push-out adhesion (bond) strength test. Fractographic analysis was performed using stereomicroscope. The data were analyzed using two-way analysis of variance (p = 0.05). The adhesion strength values of both the posts were significantly higher when cemented with subgroup B (Maxcem™ Elite). The highest adhesion strength value was demonstrated by group 1B (FiberSite™ post cemented with Maxcem™ Elite cement). The type of post did not have a significant impact on the bond strength values for either cement material.

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 Effect of diode laser irradiation on the apical sealing of MTA retrofillings

2006 ◽  
Vol 20 (3) ◽  
pp. 231-234 ◽  
Author(s):  
Eliana Barbosa de Souza ◽  
Crystiane Venditti Gomes de Amorim ◽  
José Luiz Lage Marques
Keyword(s):  
Laser Irradiation ◽  
Diode Laser ◽  
In Vitro Study ◽  
Apical Surface ◽  
Human Teeth ◽  
Root Canals ◽  
Gutta Percha ◽  
Group 2 ◽  
Student’S T

Apical sealing is essential for the success of paraendodontic surgery, so any procedure that may favor an adequate sealing of the apical remainder should be performed. The purpose of this study was to evaluate the influence of diode laser irradiation on the apical sealing of root-end cavities with MTA retrofillings. Root canals in twenty extracted human teeth were shaped with K-files and filled with gutta-percha. The apexes were cut off and root-end preparations were performed. The roots were divided randomly in 2 groups. Group 1 (ten specimens) was retrofilled with MTA. Group 2 was irradiated with diode laser, with 1 W for 20 seconds, on the apical surface and root end cavity before retrofilling with MTA. The specimens had their external surfaces impermeabilized with cyanoacrylate, except for the apical surface, and were then immersed in 1% rhodamine B dye for 72 h and placed in plaster stone. After that, the specimens were submitted to longitudinal abrasion until half of the root remained. The linear dye leakage was observed in these mid-roots between the root canal wall and retrofilling. The linear dye leakage was measured with Image Lab software, and the results were statistically analyzed with Student's t test. There were no statistically significant differences between the two groups (p > 0.05). The diode laser irradiation did not improve the apical sealing of MTA retrofillings under the conditions of this in vitro study.

scholarly journals Comparative Evaluation of Root Dentin Microhardness after using Different Standard Irrigating Solutions and Stevia Leaf Extract- An In vitro Study

2020 ◽  
Author(s):  
Avani Paresh Shah ◽  
Rushikesh Mahaparale ◽  
TM Mangala ◽  
Adish Anand Saraf ◽  
Sneha Mali ◽  
...  
Keyword(s):  
Normal Saline ◽  
Leaf Extract ◽  
Control Group ◽  
Root Canals ◽  
Extract Solution ◽  
Group 4 ◽  
Root Dentin ◽  
Group 3 ◽  
Group 2

Introduction: Success in endodontic therapy largely depends on mechanical and chemical debridement of the root canals by using instruments and effective irrigating solutions which are not only important for cleaning and disinfecting the root canals, but also, are capable of altering the chemical and structural properties of dentin. As the microhardness test is sensitive to surface changes of tooth structure, it is useful in making a correlation between irrigating solutions and root dentin microhardness. Aim: To evaluate the effect of different standard irrigating solutions at standard concentrations and Stevia leaf extract (2.5%) on the microhardness of root canal dentin. Materials and Methods: This is an in-vitro comparative study where forty intact single rooted teeth were selected and decoronated to get an apico-coronal length of 10 mm and were randomly divided into four groups as per the irrigant used; Group 1 (control): Irrigation with Normal saline, Group 2: Irrigation with 2.5% Sodium Hypochloride (NaOCl) followed by 17% EDTA, Group 3: Irrigation with 2.5% Stevia extract solution, Group 4: Irrigation with SmearClear solution. They were prepared using ProTaper Universal Rotary Files with intermittent irrigation with the respective irrigating solution. The teeth were then embedded in acrylic resin and subjected to Vicker’s Hardness test and the data obtained were analysed using one way ANOVA test. p<0.05 was taken to be statistically significant. Results: At 500 microns, Vickers Hardness Number (VHN) value was less than at 1000 micron, but was not statistically significant, (p>0.05). Between the groups, the control group showed the highest microhardness at 500 and 1000 microns, namely, 51.27±4.36 VHN and 53.60±5.12 VHN, respectively. Group 3 and 4 showed a comparable reduction in microhardness with Group 3 showing slightly better results (47.98±4.34 VHN and 48.89±5.26 VHN, respectively) as compared to Group 4 (47.36±5.50 VHN and 48.62±5.84 VHN, respectively). Group 2 showed the least value (36.60±5.71 VHN and 37.11±5.82 VHN, respectively). Conclusion: Within the limitations of this study, teeth irrigated with normal saline showed least reduction in microhardness followed by irrigation with Stevia leaf extract solution, SmearClear and Hypochlorite followed by EDTA.

Fracture Resistance of Teeth Obturated with RealSeal™ Using Two Different Chelating Agents: An in vitro Study

2010 ◽  
Vol 11 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Ahmed M. Al-Kahtani ◽  
Hussam Al-Fawaz ◽  
Mohammed Al-Sarhan ◽  
Khalil Al-Ali
Keyword(s):  
Fracture Resistance ◽  
Chelating Agents ◽  
Control Group ◽  
Filling Material ◽  
High Fracture ◽  
Human Teeth ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Abstract Objectives The aim of this study was to evaluate the fracture resistance of endodontically treated teeth filled with a resin-based obturation material using two different chelating agents. Methods and Materials Forty extracted singlecanal human teeth were prepared, instrumented, and randomly divided into three groups: Group 1 (n=15) received a final flush with 10 ml of neutralized 17% EDTA, followed by 10 ml of sodium hypochlorite (NaOCl), then obturated using lateral condensation with RealSeal. Group 2 (n=15) received a final flush of BioPure™ MTAD™, followed by 10 ml of NaOCl, then obturated using lateral condensation with RealSeal. Group 3, the control group (n=10), was instrumented but not obturated, then the root canal opening was sealed with a temporary filling material. The specimens were stored in 100% humidity for 10 days, mounted in polyester resin, and loaded to failure. Results The ANOVA revealed a significant difference between the control group and the experimental groups, although there was no statistically significant difference between Group 1 and Group 2 (p=0.05). The MTAD group displayed higher mean fracture load values than the EDTA group. Conclusions It can be concluded that filling the root canals with RealSeal™ increased the in vitro resistance to fracture of single-canal extracted human teeth when compared to instrumented and unobturated teeth. Teeth treated with MTAD demonstrated high fracture-resistance values when compared to teeth treated with 17% EDTA, but they were not statistically significant. Citation Al-Kahtani AM, Al-Fawaz H, Al-Sarhan

scholarly journals Effect of calcium hydroxide intracanal dressing on the bond strength of a resin-based endodontic sealer

2008 ◽  
Vol 19 (3) ◽  
pp. 224-227 ◽  
Author(s):  
João Vicente Baroni Barbizam ◽  
Martin Trope ◽  
Érica C.N. Teixeira ◽  
Mário Tanomaru-Filho ◽  
Fabrício B. Teixeira
Keyword(s):  
Bond Strength ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
In Vitro Study ◽  
Saline Control ◽  
Control Group ◽  
Root Canal Filling ◽  
Human Teeth ◽  
Root Canals

The aim of this in vitro study was to evaluate the bond strength of Epiphany™ resin-based sealer to dentin walls after placement of calcium hydroxide [Ca(OH)2] dressings. Fifteen extracted single-rooted human teeth were instrumented using 2.5% NaOCl + EDTA as irrigants. The teeth were randomly assigned to 3 groups (n=5), according to the intracanal dressing: G1= Ca(OH)2 + saline; G2= Ca(OH)2 + 2% chlorhexidine gluconate (CHX) gel; and G3= saline (control). After 10 days of storage in 100% humidity at 37ºC, the dressings were removed and the root canals were filled with Epiphany™ sealer. After additional 48 h of storage, the specimens were sectioned transversally into 2-mm-thick discs. Push-out tests were performed (1 mm/min, Instron 4411) and the maximum loads at failure were recorded in MPa. One-way ANOVA and Newman-Keuls tests showed a statistically significant decrease in bond strength when a Ca(OH)2 dressing was used before root canal filling with Epiphany™ (G1= 10.18 ± 1.99 and G2= 9.98 ± 2.97) compared to the control group (13.82 ± 3.9) (p< 0.05). It may be concluded that the use of Ca(OH)2 as an intracanal dressing material affected the adhesion of Epiphany™ to the root canal walls, but even though the values were within the acceptable range found in the literature.

scholarly journals Evaluation of the Push-out Bond Strength of ProRoot MTA and Bio-dentine After Removal of Calcium Hydroxide and Triple Antibiotic Paste

2018 ◽  
Vol 8 (2) ◽  
pp. 50-55
Author(s):  
Fatih Tulumbacı ◽  
Merve Erkmen Almaz ◽  
Volkan Arıkan ◽  
Merve Safa Mutluay
Keyword(s):  
Bond Strength ◽  
Calcium Hydroxide ◽  
Control Group ◽  
Human Teeth ◽  
Root Canals ◽  
Triple Antibiotic Paste ◽  
Group 2 ◽  
Prior Application ◽  
Post Hoc ◽  
Push Out

Aim: To evaluate the effect of calcium hydroxide (CH) and triple antibiotic paste (TAP), on the push-out bond strength of ProRoot MTA and Biodentine. Methodology: Root canals of 120 human teeth were instrumented using rotary files. To obtain a standard diameter of 1.5 mm,the roots were instrumented to a #6 Peeso reamer. The reamers were passed 1 mm beyond apex to simulate open apices. The roots were randomly assigned into following groups: Group 1: CH; Group 2: TAP; Group 3: no medicament (control). The medicaments were removed after 3 weeks. Thereafter, the specimens were divided into two subgroups according to the calcium silicate-based cement applied (n = 20): (i) ProRoot MTA (Dentsply Tulsa Dental, USA) and (ii) Biodentine (Septodont, France). Push-out test was performed, and the data were analysed statistically using one-way ANOVA and Tukey’s post hoc test. Results: In both MTA and Biodentine groups, pairwise comparisons between medicaments showed similar values to the control group (P > 0.05). Overall, there was a predominance of cohesive failures between root dentin and cements. Conclusion: Biodentine and ProRoot MTA showed similar bond strength values, and prior application of the TAP and CH did not affect the bond strength significantly.

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