scholarly journals Effects of Ultrasonic Activation on Root Canal Filling Quality of Single-Cone Obturation with Calcium Silicate-Based Sealer

Materials ◽  
2021 ◽  
Vol 14 (5) ◽  
pp. 1292
Author(s):  
Sin-Young Kim ◽  
Young-Eun Jang ◽  
Bom Sahn Kim ◽  
Eun-Kyoung Pang ◽  
Kiche Shim ◽  
...  

Background: We evaluated the effects of ultrasonic activation on root canal filling quality of the single-cone (SC) obturation technique with calcium silicate sealers and gutta percha cones. Methods: Thirty-six human single-rooted premolars were obturated with gutta percha and sealer. For the continuous wave (CW) group (n = 12), AH Plus with a continuous wave technique was used. The SC group (n = 12) received EndoSequence BC sealer with a single-cone technique. The SCU (SC with the addition of ultrasonic activation) group (n = 12) received the same treatment. Micro-computed tomography was used to scan the teeth, and the void volume within the root canal was evaluated at the apical, middle, and coronal levels. Then cross-sections were observed under a light microscope and scanning electron microscope (SEM). Results: Void volume was significantly lower in the SCU group than in the CW and SC groups. There were no statistically significant differences between the CW and SC groups. The SCU group had fewer voids than the CW and SC groups in the coronal and middle third areas. Specimens showed no apparent gaps or voids in any group. SEM images revealed both gap-free and gap-containing regions at different levels in all groups. Conclusions: Single-cone obturation with calcium silicate-based sealers might obtain enhanced filling quality when used with ultrasonic activation.

Materials ◽  
2020 ◽  
Vol 13 (19) ◽  
pp. 4389
Author(s):  
Su-Yeon Ko ◽  
Hae Won Choi ◽  
E-Deun Jeong ◽  
Vinicius Rosa ◽  
Yun-Chan Hwang ◽  
...  

The present study aimed to investigate the effects of different obturation techniques on the main and accessory canal filling quality of a premixed calcium silicate endodontic sealer (Endoseal TCS). We also highlighted the validity of the methods used for evaluating the canal filling quality. Thirty single-rooted premolars were used for the main canal filling and 75 were used for accessory canal filling. The canals were instrumented and randomly divided into three groups according to the filling techniques: (1) single-cone technique (SC), (2) single-cone with ultrasonic activation (SU), and (3) warm vertical compaction (WV). Voids in relation to the root canal fillings were assessed using cross-section images from microcomputed tomography (μCT) scans or transversely sectioned tooth specimens (n = 10). After demineralization and clearing of the teeth, the incidence, number, and completeness of the accessory canal fillings were evaluated (n = 25). One-way analysis of variance (ANOVA) and Tukey’s post hoc test was used for the evaluation of the voids in the main root canal and the incidence and number of filled accessory canals. Pearson’s chi-squared (χ2) test was used for the evaluation of the filling completeness (α = 0.05). In the stereomicroscopic evaluation of the sectioned specimen, the SC group had significantly higher void occurrence than the other groups (p < 0.05), although there was no difference between groups in the μCT evaluation. However, there was no difference between the SU and WV. There was no difference between all the groups regarding the incidence, number, and completeness of the accessory canal fillings. When the premixed calcium silicate sealer is used with SC, the ultrasonic activation is recommended to obtain a better main canal filling quality. In contrast, the obturation techniques did not affect the accessory canal filling. We also recommend using the sectioning method when the void formation in the root canal filling materials is evaluated.


2018 ◽  
Vol 44 (1) ◽  
pp. 133-138 ◽  
Author(s):  
Jung-Ae Kim ◽  
Yun-Chan Hwang ◽  
Vinicius Rosa ◽  
Mi-Kyung Yu ◽  
Kwang-Won Lee ◽  
...  

2014 ◽  
Vol 25 (2) ◽  
pp. 117-122 ◽  
Author(s):  
Adriana Simionatto Guinesi ◽  
Gisele Faria ◽  
Mario Tanomaru-Filho ◽  
Idomeo Bonetti-Filho

The aim of this study was to evaluate the influence of the sealer placement technique on the quality of root canal filling using Lateral Compaction (LC) or Single Cone (SC). In order to do that, 60 mesial roots of mandibular first molars were prepared and divided into 2 groups (n=30), according to the filling technique: LC and SC. Each group was subdivided into 3 subgroups (n=10), according to the different sealer placement methods: A: Master gutta-percha (GP) cone; B: Lentulo spiral; C: File. The roots were sectioned at 2, 4 and 6 mm from the apex and photographed with the aid of a digital microscope. Then, areas of GP, endodontic sealer and voids were measured, and these data were subjected to statistical analysis. LC technique showed no statistically difference (p>0.05) in the percentage of GP area, sealer and voids between the subgroups at any of the three levels. After use of SC, higher percentages of sealer area were found at all levels (p<0.01) when the sealer was placed with a file. At 2 mm, higher percentage of void areas (p<0.05) was observed when the cone was used, lower percentage with K-file and the lowest percentage with Lentulo. At 4 mm, cone showed higher percentage of void areas (p<0.05). At 6 mm, there were no significant differences (p>0.05) between the three methods. Considering these results, using an instrument for sealer placement was important in the SC technique to reduce voids. Regarding LC, the sealer placement techniques provided similar results.


2020 ◽  
Vol 23 (3) ◽  
Author(s):  
Fatma Macit Ermis ◽  
Faruk Haznedaroğlu

 Objective: The influence of four root canal filling techniques on the penetration of an endodontic sealer into dentinal tubules and the gutta percha/ sealer ratio (GP/SR) in root canals was evaluated using confocal laser scanning microscopy (CLSM). Material and Methods: Roots of the maxillary central incisors (n=40) were prepared with ProTaper Universal files up to file F5 and assigned to five groups: continuous wave condensation, lateral condensation, single cone, Thermafill®, and negative control group. After root canal filling with gutta-percha and AH26, along with the addition of 0.01% fluorescein, the roots were cut into 2-mm slices. Using CLSM, the specimens were transversely sectioned at 3, 6, and 10 mm from the apex. Results: Sealer penetration was deeper and more frequent at 10 mm than at the 6mm and 3mm for all obturation technique. Penetration was not significantly affected by obturation techniques except single master cone tecnique. Single cone technique demonstrated the lowest sealer penetration at all levels. However, sealer thickness was strongly dependent on obturation technique. Termafill® demostrated superior GP ratio followed by continuous wave condensation, lateral condensation and single cone. Conclusion: In conclusion, the single cone technique resulted in lower sealer penetration than the other techniques, which did not differ significantly from each other. However, sealer thickness was strongly dependent on obturation technique. Termafill® demostrated superior GP ratio followed by continuous wave condensation, lateral condensation and single cone.KeywordsObturation techniques; Dentinal tubule penetration; Gutta percha, sealer ratio; Confocal laser scanning microscopy.


Prosthesis ◽  
2021 ◽  
Vol 3 (4) ◽  
pp. 406-414
Author(s):  
Manuela Marchese ◽  
Pontoriero I. K. Denise ◽  
Edoardo Ferrari Cagidiaco ◽  
Alfredo Iandolo ◽  
Simone Grandini ◽  
...  

The aim of this study was to evaluate the efficacy of activated irrigants (EDTA e NaOCL) during the cleansing of root walls, of the smear layer, of the debris, and gutta-percha after the preparation of the restorative space. Twenty single and multi-rooted (n = 20) have been collected. All samples were prepared by the same operator, using Nickel-titanium rotating instruments (Mtwo) through the Simultaneous Shaping Technique. The continuous-wave of condensation technique of obturation was used. To all specimens, the restorative space has been made, leaving 5 mm of apical gutta-percha, and postoperative periapical X-rays were performed. The samples were randomly divided into two groups: Group (A): cleansing of the root walls with ultrasonic activation of the irrigants (NEWTRON P5 XS; Satelec Acteon); Group (B): radicular walls wash without ultrasonic activation of endodontic irrigants (NaOCl 5.25% and EDTA 17%). Both dental sample groups were cut longitudinally with a low-speed saw (Isomet); the samples were observed by using a scanning electron microscope (Jeol, Jsm-6060LV) in order to evaluate: (1) the amount of debris/smear layer; (2) the mount of obstruction of dentinal tubules found in the two groups; and (3) evaluation of the presence of gutta-percha. Then, the other five samples each group (with and without ultrasonic activation) were prepared following the same protocol. Then, a universal bonding system (G-Praemio Bond, GC) and a layer of a flowable resin composite (Gaenial Flow, GC) were light-cured and used on top of the prepared root canal walls. The samples were cut in two pieces along the long axis of the root. Then, half sample teeth were kept in an acidic solution (37% HCl) for 48 h in order to completely dissolve dental structures and to have a direct view of resin tags formation under SEM. The other half was prepared to observe the adhesive interface under SEM. The amount of debris was not satisfactory in 9 out of 10 cases in Group B, while in Group A, which has been treated with ultrasounds, the result was either good or great in most of the samples. For the sample group treated with ultrasound, the tubules were evaluated as perfectly clean in 9 out of 10 cases, instead, the results are unsatisfactory for 9 out of 10 cases of group B not treated with ultrasound. Differences between Group A and B were statistically significant. With respect to the presence of debris and tubules obstruction treatment with ultrasonic activation, it offers with no doubt better results. When ultrasonic activation is used in combination with endodontic irrigants, a clean dentin substrate is be obtained for the adhesion of restorative materials, but in order to confirm the findings of this study, further in vivo trials are needed.


Materials ◽  
2021 ◽  
Vol 14 (20) ◽  
pp. 6036
Author(s):  
Yong-Sik Cho ◽  
Youngjun Kwak ◽  
Su-Jung Shin

This study aimed to assess the effectiveness of ultrasonic vibration and thermo-hydrodynamic obturation (VibraTHO) using two types of root canal sealers, in comparison to the single-cone (SC) technique and a calcium silicate-based root canal sealer in complex root canal anatomies. Thirty single-rooted human maxillary premolars with two canals that had a complex root canal anatomy of transverse anastomoses or ramifications were prepared and assigned to the following three experimental groups, according to the filling method: SE group, SC technique with Endoseal TCS; VE group, VibraTHO with Endoseal TCS; and VG group, VibraTHO with GuttaFlow 2. Each tooth was scanned using micro-computed tomography, and the volume percentages of the filling material were calculated. The analysis of variance was used to analyze the statistical differences between the three groups (p < 0.05). The mean volume of the filling material was higher in the VG and VE groups than that in the SE group (p < 0.05) along the apical to middle-to-coronal thirds, and significant differences were observed between each root canal area (p < 0.05), with the only exception being at the apical thirds between the VE and SE groups. The VibraTHO technique using GuttaFlow 2 can be a more effective root canal filling method for anatomically complex root canal systems than the SC technique with Endoseal TCS. On the other hand, the VibraTHO technique using Endoseal TCS has a limited effect on improving the quality of the root filling at the apical portion of anatomically complex root canal systems, compared to the SC technique with Endoseal TCS.


2021 ◽  
Vol 11 (14) ◽  
pp. 6270
Author(s):  
Jesús Mena-Álvarez ◽  
Juliette Theophanie Sevrain ◽  
Mario Zorita-García ◽  
Cristina Rico-Romano

The aim of this study was to evaluate ex vivo the sealing achieved at simulated lateral canals (SLC) and the quality of filling according to their position in the root canal after using the same filling technique. SLC were created at three levels in 55 teeth and divided into two groups depending on the root canal sealer used (1: BioRoot® RCS, 2: GuttaFlow® bioseal). They filled them with the continuous wave technique and submitted to a diaphanization technique. The samples were analyzed using a magnifying lens (20×), pictures were taken, which proceeded to linear measurement with the ImageJ® program and used a filling score system with five grades (0 to 4, 0 and 1 not acceptable, 2 to 4 acceptable); BioRoot® RCS has got a greater proportion than GuttaFlow® bioseal for SLC filled acceptably at 10 mm from the apex (p < 0.05). The highest proportion of SLC filled acceptably was found in the middle third (6 mm) (p < 0.05), followed by the apical third (3 mm) and the coronal third (10 mm). The difference between apical and coronal third could be significant; BioRoot® RCS has been better than GuttaFlow® bioseal for filling SLC in the coronal third of the teeth. Studies on the characteristics of these cements are missing to explain these differences.


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