scholarly journals Comparative Evaluation of Mineral Trioxide Aggregate Obturation Using Four Different Techniques—A Laboratory Study

Materials ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 3126
Author(s):  
Abhishek Isaac Mathew ◽  
Silvia Chamin Lee ◽  
Giampiero Rossi-Fedele ◽  
George Bogen ◽  
Venkateshbabu Nagendrababu ◽  
...  

This study aimed to compare the density of mineral trioxide aggregate (MTA) as a root canal filling material in the apical 5 mm of artificial root canals. Forty transparent acrylic blocks with 30-degree curved canals were instrumented and allocated into four compaction technique groups (n = 10): Lawaty (hand files); gutta-percha (GP) points; auger (nickel–titanium rotary files in reverse mode); and plugger technique. Filled canals were weighed after setting the MTA to calculate difference in mass. Two postoperative radiographs compared radiopacity by measuring luminance variations at 0.5 mm, 1 mm, 2 mm, 3 mm, 4 mm, and 5 mm from the root apex. Obturation time was measured using a digital chronometer. The significance level was set to p < 0.05. The plugger group had a lower mass. Relative luminance was significantly higher for the Lawaty group than the plugger group at all examined apical levels. The relative luminance of the auger and GP groups were significantly higher than the plugger group at depths between 0.5 mm and 2 mm. Relative luminance was highest for the Lawaty technique at all depths between 0.5 mm and 4 mm. The Lawaty technique group was associated with increased obturation time compared with pluggers. Compacting MTA in curved canals with the Lawaty technique has the highest mass and radiopacity but requires more time.

2006 ◽  
Vol 14 (3) ◽  
pp. 219-223 ◽  
Author(s):  
Nicole de Mello Rahde ◽  
José Antonio Poli Figueiredo ◽  
Elias Pandonor Motcy Oliveira

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.


2011 ◽  
Vol 10 (51) ◽  
pp. 10516-10519
Author(s):  
Froughreyhani Mohammad ◽  
Salem Milani Amin ◽  
Rahimi Saeed ◽  
Shakouie Sahar ◽  
Fateh Somaieh

2021 ◽  
Vol 10 (21) ◽  
pp. 4977
Author(s):  
Saulius Drukteinis ◽  
Goda Bilvinaite ◽  
Hagay Shemesh ◽  
Paulius Tusas ◽  
Vytaute Peciuliene

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).


2006 ◽  
Vol 14 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Márcia Carneiro Valera ◽  
Carlos Henrique Ribeiro Camargo ◽  
Alessandra Sverberi Carvalho ◽  
Eduardo Ramalho Pereira Gama

The objective of this study was to evaluate the apical leakage of retrograde cavities filled with Portland Cement (Concrebrás S/A-MG-Brazil), ProRoot MTA TM (Dentsply International, Johnson City, TN, USA) and Sealapex (Kerr Corporation, Orange, California, USA) with addition of zinc oxide (Odahcam Herpo Produtos Dentários Ltda, Rio de Janeiro, RJ, Brazil). Forty-two extracted single-rooted human teeth were decoronated and used for this study. The root canals were instrumented at 1.0mm short of the apical foramen using the step-back technique to an apical ISO size 60. The roots were obturated with gutta-percha points and sealer Sealapex (Kerr Corporation-USA) and then 3mm of each root apex was sectioned at a 90° angle. Ultrasonic retrograde preparation was performed with a diamond tip to 3mm depth and the roots were randomly divided into 3 groups according to the filling material: G1-Portland, G2-ProRoot MTA, G3- Sealapex zinc oxide-added cement. The root surfaces were covered with nail varnish up to 2mm from the apical foramen, immersed in simulated tissue fluid for 30 days, and then immersed in 0.2% Rhodamine B solution for 24 hours for evaluation of marginal leakage. The results showed mean leakage of 0.75, 0.35 and 0.35 for groups 1, 2 and 3, respectively; however, Kruskal-Wallis test revealed that there was no statistically significant difference among the results (p>0.05).


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

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.


Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6670
Author(s):  
Marko Rajda ◽  
Ivana Miletić ◽  
Gorana Baršić ◽  
Silvana Jukić Krmek ◽  
Damir Šnjarić ◽  
...  

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.


2003 ◽  
Vol 14 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Henrian Gonzaga Barbosa ◽  
Roberto Holland ◽  
Valdir de Souza ◽  
Eloi Dezan Júnior ◽  
Pedro Felício Estrada Bernabé ◽  
...  

The purpose of this study was to observe the influence of coronal leakage on the behavior of periapical tissues after root canal filling and post space preparation. Forty root canals of dogs' teeth were instrumented and filled by the lateral condensation technique with gutta percha points and the cements Sealer 26 and Roth. After post space preparation, the remaining filling material was either protected or not protected with a plug of the temporary cement Lumicon. After root canal exposition to the oral environment for 90 days, the animals were killed and specimens were removed and prepared for histomorphological analysis. The Brown and Brenn technique showed 70% of cases with microorganism leakage for Roth cement, and 20% with Sealer 26. When a plug of Lumicon was employed, there was 30% leakage for Roth cement and 0% for Sealer 26. A chronic inflammatory reaction was more frequently observed with Roth cement than with Sealer 26. It was concluded that a plug of Lumicon was efficient in controlling microorganism coronal leakage (p=0.05), and that Sealer 26 was more biocompatible and sealed root canals better than Roth sealer (p=0.01).


2019 ◽  
Vol 45 (1) ◽  
pp. 54-61
Author(s):  
Afzal Ali ◽  
Sazid Hussain ◽  
Sandeep Metgud ◽  
Shashank Mishra ◽  
Ankita Sharma ◽  
...  

Background: To investigate the efficiency of Hedstrom (H; Dentsply Maillefer) file, Protaper Universal Retreatment system (PTUR; Dentsply Maillefer), Mani NRT-GPR files (Mani, Japan) and WaveOne (WO; Dentsply Maillefer) Reciprocating files in removing Gutta Percha (GP) and sealer from root canals. Methods: Sixty canals with less than 10° curvature from extracted human maxillary incisors were used. Root canal reinstrumentation was performed with H, PTUR, Mani NRT-GPR and WO files. Amount of residual root filling material (Gutta-percha and or sealer) were measured by using stereomicroscope. Data of GP or sealer remnants were statistically analyzed using one-way analysis of variance and Tukey test. Results: There were no significant differences among 4 groups in terms of residual root filling material in the apical third (p > 0.05). H-file group showed highest amount of root residual root filling as compared to groups. Conclusions: Reciprocating file system proved to be more efficient in removing the root canal fillings material than other retreatment file systems. H file group showed highest amount of root canal filling material. Bangladesh Med Res Counc Bull 2019; 45: 54-61


2007 ◽  
Vol 18 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Roberto Holland ◽  
Luciana Noronha Manne ◽  
Valdir de Souza ◽  
Sueli Satomi Murata ◽  
Eloi Dezan Júnior

The purpose of this study was to evaluate the influence of coronal leakage on the healing of dogs' periapical tissues after root canal filling, post space preparation and protection or not with a temporary sealer plug. Forty root canals of dogs' teeth were instrumented and filled by the lateral condensation technique with gutta-percha points and Endomethasone or CRCS sealers. After post space preparation, the remaining filling material was protected or not with a plug of temporary Coltosol sealer and exposed to the oral environment for 90 days. Thereafter, the animals were sacrificed and the specimens were removed and prepared for histomorphological and histobacteriological analysis. The findings revealed 35% of microbial leakage in the groups without plugs and 15% of leakage in the groups with plugs. Statistical analysis showed that the use of a Coltosol plug improved significantly the histomorphological results regardless of the type of root canal sealer (p=0.05) and that CRCS and Endomethasone sealers showed similar results (p>0.05).


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Neslihan Simsek ◽  
Fuat Ahmetoglu ◽  
Ali Keles ◽  
Elcin Tekin Bulut ◽  
Kursat Er

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.


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