scholarly journals The assessment of the filling material remaining on root canal walls after using protaper universal rotary retreatment system with or without a solvent

2016 ◽  
Vol 62 (4) ◽  
pp. 204-208
Author(s):  
Sînziana Adina Scărlătescu ◽  
◽  
Irina Maria Gheorghiu ◽  
Stana Păunica ◽  
Paula Perlea ◽  
...  

The purposes of retreatment are to eliminate the cause for failure of initial endodontic treatment and to preserve the tooth as well. The aim of this study is a comparative evaluation of efficacy of Protaper rotaty retreatment instruments for gutta-percha removal with or without solvents specific both to the sealer and gutta-percha. Materials and methods: Forty single-rooted extracted teeth were randomly divided into 4 groups according to different methods of retreatment. The teeth were prepared with Protaper Universal system (Dentsply-Maillefer, Ballaigues, Switzerland) and filled using lateral condensation of gutta-percha and AH Plus (Dentsply DeTrey, Konstanz, Germany). All root canal fillings were removed using Protaper Universal Retreatment system (Dentsply-Maillefer, Ballaigues, Switzerland). During the retreatment procedure, in group 1 Resosolv (Pierre Rolland, Merignac, France) was used; in group 2 eucalyptol was used, in group 3 Endosolv E (Septodont, Paris, France) was used and in group 4 no solvent was used. The times required for retreatments and radiographycal evaluation after retreatment were recorded. Results: All root canals showed filling material remnants and group 1 with specific solvent for AH Plus recorded the shortest time. Conclusions: Although it is not possible to eliminate the entire filling material on the canal walls, the duration of retreatment was reduced by the use of a solvent specific to the sealer compared with a gutta-percha solvent or no solvent.

2021 ◽  
Vol 15 (2) ◽  
pp. 42-59
Author(s):  
Musliana Mustaffa ◽  
◽  
Hajar Ar Rahmah Nasri ◽  
Insyirah Kamarulzaman ◽  
Mohamad Shafiq Mohd Ibrahim ◽  
...  

The obturation quality of GuttaFlow Bioseal in curved root canals is not commonly investigated although there has been a current approach toward utilizing this material in extracted molars in recent years. This study assessed the obturated surface area, extrusion of root filling material beyond the apical foramen and duration of obturation procedure in curved root canals using monocone obturation technique. Access cavity was prepared in 20 human mandibular molars. Root canals with curvature of more than 10 as determined according to Schneider’s method were included. Samples were prepared using Hyflex CM rotary files and divided into two groups (n=10): Group 1 [gutta-percha cone and GuttaFlow Bioseal] and Group 2 [gutta-percha cone and RoekoSeal Automix root canal sealer]. The duration of obturation procedure was recorded and obturation radiographs were taken. Samples were bisected and the mesial roots were sectioned horizontally to obtain 3 root segments; apical, middle and coronal. All resected roots were mounted on brass stubs, sputter-coated with thin platinum coating and observed under scanning electron microscope (SEM) at 70x magnification. The SEM images were transferred to the SketchAndCalc Area Calculator software. No statistically significant differences in the obturated surface area and extrusion of root filling material were observed between Group 1 and 2, irrespective of the status of root canal curvature. Duration for obturation in severe root canal curvatures between Group 1 and 2 were statistically significant. Obturated surface area and extrusion of root filling material were not affected by the root canal curvature, however duration for obturation using GuttaFlow Bioseal in severe root canal curvatures was slightly longer.


2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Jaya Siotia ◽  
Shashi Rashmi Acharya ◽  
Sunil Kumar Gupta

Objective. To compare the efficacy of ProTaper retreatment files in removing three different obturating materials.Study Design. Forty-five human, single-rooted premolars were divided into three experimental groups. Group 1 was obturated with gutta-percha and AH Plus sealer, Group 2 was obturated with gutta-percha and zinc oxide eugenol sealer, and Group 3 was obturated with GuttaFlow. Retreatment was done using the ProTaper universal rotary retreatment files. Root halves were visualized using magnifying loops at 3X magnification and optical stereomicroscope at 10X magnification. Images were analyzed using AutoCAD 2004 software to calculate area of the remaining debris in the canal. For statistical analysis were used variance test and ANOVA.Results. Total debris/canal area ratio between the three groups showed a statistically significant difference (P<0.001).Conclusion. ProTaper retreatment system did not produce completely clean canals in any of the groups. However, it had the best efficacy towards removing silicon based obturating material GuttaFlow.


2012 ◽  
Vol 3 (2) ◽  
pp. 166-170
Author(s):  
Carla Zogheib ◽  
Etienne Medioni

ABSTRACT Forty-eight extracted maxillary anterior teeth instrumented with ProTaper system to apical preparations 0.25, 0.40 and 0.60 mm (n = 16 each) were divided into six groups for filling as following: Group 1: Apical preparation 25/100 + gutta-percha/AH Plus sealer, group 2: Apical preparation 25/100 + Resilon/Real Seal, group 3: Apical preparation 40/100 + gutta-percha/AH plus sealer, group 4: Apical preparation 40/100 + Resilon/Real Seal, group 5: Apical preparation 60/100 + gutta-percha/AH plus, group 6: Apical preparation 60/100 + Resilon/Real Seal. All teeth were filled using the warm vertical technique. Horizontal sections at 1, 2 and 3 mm from the apex were observed by SEM under 200 × magnification. Sections were digitally photographed under a stereomicroscope and the images were transferred to a compatible PC for image analysis. The surface area of voids were calculated and compared at all levels; using the Kruskal-Wallis test with Sidak correction and Mann-Whitney U test (p > 0.05). Comparisons within each group (gutta-percha/AH plus and Resilon/Real Seal) showed the presence of voids but there was no significant difference between any level of sectioning for apical preparations of 25 and 40 (p > 0.05). The only difference was in the groups prepared to size 60 and filled with Resilon/ Real Seal which showed significantly more voids than the group filled with gutta-percha/AH plus and especially at the 3 mm level. Conclusion The system Resilon/Real Seal did not achieve better results in terms of sealing ability in the apical third when compared to the conventional gutta-percha/AH plus sealing system. How to cite this article Zogheib C, Naaman A, Medioni E. Evaluation of Apical Filling after Warm Vertical Compaction using Two Different Endodontic Materials: Resilon® and Gutta-Percha. World J Dent 2012;3(2):166-170.


2013 ◽  
Vol 24 (6) ◽  
pp. 585-590 ◽  
Author(s):  
Gabriela Guardiola Muller ◽  
Anielle Pinheiro Schonhofen ◽  
Patricia Maria Poli Kopper Mora ◽  
Fabiana Soares Grecca ◽  
Marcus Vinicius Reis So ◽  
...  

The aim of this study was to investigate whether a final rinse with Endosolv R® solvent and ultrasound resulted in cleaner root canal walls during endodontic retreatment. A total of 56 extracted premolar teeth were manually instrumented using a step-back flare technique and filled with gutta-percha and AH Plus sealer. After 9 months, the canals were retreated by removing the gutta-percha and sealer with ProTaper Universal Retreatment and rotary preparation with ProTaper Universal System up to an F5 file. As a final step, the teeth were randomly divided in 4 groups (n=14) and were subjected to passive ultrasonic irrigation (PUI) with either Endosolv R or distilled water. In the control groups, the irrigants were left undisturbed. Roots were cleaved and examined under scanning electron microscopy (SEM), and the amount of filling remnants on the canal walls was assessed by two calibrated examiners in a blinded fashion. Data were analyzed by the Kruskal-Wallis test and the Student-Newman-Keuls post hoc test (α=0.05). All groups presented filling debris in the three root canal thirds after retreatment. There were no significant differences between the groups or among the root canal thirds within each group (p>0.05). PUI with Endosolv R was not effective in the removal of filling debris from root canal walls.


2004 ◽  
Vol 5 (2) ◽  
pp. 93-101 ◽  
Author(s):  
Oya Bala ◽  
L. Sibel Karadag ◽  
Emin Türköz ◽  
Tansev Mihçioğlu

Abstract In this study, the aim was to assess the in vitro apical microleakage of a resin-based sealer used with two different adhesives. Thirty nine freshly extracted maxillary incisors were used. The teeth were decoronated at the cemento-enamel junction with a water-cooled fissure bur. Chemo-mechanical debridement of the root canals was accomplished with the step-back technique. The smear layer was removed by 19% ethylenediamine tetra acetic acid (EDTA). The roots were then divided into three experimental groups of thirteen teeth in each. Specimens in group 1 were filled with gutta-percha, AH Plus sealer, and water-based adhesive system (Syntac Single Component). Group 2 specimens were filled with gutta-percha, AH Plus sealer, and acetone-based dentin adhesive (Prime & Bond NT). Specimens of group 3 were filled with only gutta-percha and AH Plus sealer (no adhesive was applied). The teeth were immersed into 2% methylene blue solution. Apical sealing qualities were assessed by measuring the linear dye penetration with a stereomicroscope. Dentin tubule penetration was observed under scanning electron microscopy (SEM). Results showed no statistically significant difference between the materials used, however, the leakage in group 2 was less than group 1 and 3. Citation Karadag LS, Bala O, Türköz E, Mihçioğlu T. The Effects of Water and Acetone-based Dentin Adhesives on Apical Microleakage. J Contemp Dent Pract 2004 May;(5)2:093-101.


2019 ◽  
Vol 13 (3) ◽  
pp. 215-220
Author(s):  
Selen İnce Yusufoglu ◽  
Melek Akman ◽  
Makbule Bilge Akbulut ◽  
Ayce Ünverdi Eldeniz

Background. This in vitro study compared the fracture resistance of roots instrumented either with ProTaper or One Shape rotary systems and filled with one of the silicate, epoxy resin or silicone-based sealers. Methods. Sixty single-rooted extracted mandibular premolars were decoronated to a length of 13 mm and then randomly divided into two main groups (n=30) in terms of the rotary system used for preparation. Group 1 samples were instrumented with the ProTaper Universal system up to a master apical file of #F2, while samples in group 2 were enlarged with One Shape system. The two main groups were then divided into 3 subgroups in terms of the sealer used (n=10) and filled with gutta-percha (either F2 or MM-GP points) of the rotary system used and one of the sealers as follows: group 1, BioRoot RCS + ProTaper F2 gutta-percha; group 2, AH Plus + ProTaper F2 gutta-percha; group 3, GuttaFlow + ProTaper F2 gutta-percha; group 4, BioRoot RCS+ MM-GP points; group 5, AH Plus + MM-GP points; and group 6, GuttaFlow + MM-GP points. Each specimen then underwent fracture testing by using a universal testing machine at a crosshead speed of 1.0 mm/min until the root fractured. Data were statistically analyzed. Results. Two-way ANOVA showed no significant differences between the groups. One Shape instruments showed significantly better fracture resistance compared to ProTaper instruments. Statistically, no significant difference was found between AHPlus, GuttaFlow and BioRoot RCS sealers. Conclusion. It can be concluded that the rotary system used for the instrumentation of teeth has some influence on the fracture resistance, while the root canal sealers do not have such an effect.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mustaffa M ◽  
Nordin N ◽  
Embong SNH ◽  
Mohd Ibrahim MS

INTRODUCTION: This study compared the obturated surface area, the extrusion of root filling material beyond the apical foramen and the duration of obturation procedure in single-rooted mandibular premolar using monocone obturation technique. MATERIALS AND METHODS: The root canal of twenty single-rooted mandibular premolars were prepared, and then divided into two groups; Group 1 (GuttaFlow Bioseal (GFB) and a gutta-percha (GP) cone) and Group 2 (RoekoSeal Automix root canal sealer and a GP cone). The obturation procedure was timed and the obturation radiograph was taken after the procedure. The roots were sectioned perpendicularly and the surfaces were observed under scanning electron microscope. The images were transferred to the SketchAndCalc Area Calculator software for evaluation of the obturated surface area. RESULTS: The median score of obturated surface area in Group 1 and 2 at the apical was 86.51 and 83.00, at the middle was 90.48 and 87.35 and at the coronal was 93.00 and 83.39, respectively. The extrusion of root filling material between two groups did not show statistically significant difference. The mean duration of obturation in Group 1 and 2 was 149.50 and 137.60, respectively. CONCLUSIONS: The obturated surface area at the apical and middle root regions in Group 1 and 2 was comparable but at the coronal region, Group 1 showed 11.5% better coverage. The extrusion of root filling material in Group 1 and 2 was equivalent. Obturation procedure in Group 1 took 8.6% longer than in the Group 2.


2007 ◽  
Vol 18 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Lilia E. Leonardi ◽  
Diana M. Atlas ◽  
Guillermo Raiden

The aim of the present study was to assess the presence of apically extruded debris and evaluate the influence of canal curvature on the amount of debris produced by manual and mechanical techniques. Forty single-rooted mature teeth with 15 to 30 degree of root canal curvature were selected. The presence of only one foramen was confirmed using a magnifying lens. A size 15 K-file was placed up to the apical foramen to determine the patency. Working length was determined with the same instrument, 1 mm short of the foramen. According to the employed technique, the groups were labeled as follows: Group 1 - Manual instrumentation with Mor-flex files; Group 2 - Mechanical instrumentation with Cursor and Mor-flex files; Group 3 - Manual instrumentation with Flexi-cut files; Group 4 - Mechanical instrumentation with Cursor and Flexi-cut files. During instrumentation, the root canals were irrigated with 20 mL. Debris extruded through the apical foramen was collected using the Myers and Montgomery technique. The values (in mg) were: Group 1: 0.422 ± 0.683; Group 2: 0.688 ± 0.795; Group 3: 0.409 ± 0.323; Group 4: 0.810 ± 0.708. Data were analyzed statistically by ANOVA at 5% significance level. There was no statistically significant difference among the groups (p<0.05). No statistically significant differences were found between slight and moderate curvatures in terms of the amount of extruded debris (p>0.05).


2014 ◽  
Vol 3 (1) ◽  
pp. 8-13
Author(s):  
M Vikram ◽  
N Shetty ◽  
VP Singh

Background: Complete obturation of the root canal with an inert filling material and creation of a fluid-tight seal are among the major goals of successful endodontic treatment. Methods: Extracted mandibular premolar teeth were decoronated, prepared in a crown-down fashion and irrigated with 2.5% sodium hypochlorite and 17% EDTA. The specimens were randomly assigned into 4groups (n=10/each) and obturated with gutta-percha and Resilon/Epiphanywith different sealers. Horizontal sections were obtained of the coronal, middle and apical third at levels of 14-mm, 8-mm and 2-mm from the apex respectively and were viewed under magnification. The area of obturating material, sealer and voids were calculated using Image Jsoftware. Statistical comparisons between the Resilon and gutta-percha groups were made with Kruskal-Wallis Test and intergroup comparisions were made by Mann-Whitney U test with Bonferroni correction. Results: The results of this study showed that root canals obturated with gutta-percha or Resilon with Epiphany as sealer had significantly less area of sealer plus voids and voids alone as compared to root canals obturated with gutta-percha and AH Plus as sealer or gutta-percha and GuttaFlow. Conclusion: From the results of this study it can be concluded that methacrylate resin-based sealer Epiphany will lead to a better obturation of the root canals and adhesive sealers hold a better prospective. Nepal Journal of Medical Sciences | Volume 03 | Number 01 | January-June 2014 | Page 8-13 DOI: http://dx.doi.org/10.3126/njms.v3i1.10342


2014 ◽  
Vol 02 (03) ◽  
pp. 125-129
Author(s):  
Vibha Hegde ◽  
Shashank Arora

Abstract Objective: To compare the sealing ability of three single-cone obturation systems using a glucose leakage model. Materials and Methods: A total of 90 freshly extracted human mandibular incisors with oval canals were selected and their crowns were cut. The root canal of each sample was instrumented using a rotary crown down technique and then divided into four experimental (n = 20 each) and two control groups (n = 5 each). Samples in the experimental groups were filled as follows: Group 1, cold lateral condensation using Gutta-percha/AH Plus; Group 2, single-cone C-Points/Smart-Paste Bio Sealer; Group 3, single cone Bio-Ceramic Impregnated Gutta-Percha/Endo-Sequence Bio-Ceramic Sealer; Group 4, single-cone Resilon/RealSeal SE. After 7 days, the sealing ability of root canal fillings was tested at different time intervals using glucose leakage model. Glucose leakage values were measured using a spectrophotometer and statistically analyzed. Results: The four experimental groups presented significantly different glucose leakage values at all test periods (P < 0.05). At the end of the observation period, the cumulative glucose leakage values of Groups 2 and 3 were significantly lower than those of Groups 1 and 4 (P < 0.05). Conclusion: C-Points/Smart-Paste Bio and Bio-Ceramic Impregnated Gutta-Percha/Endo-Sequence Bio-Ceramic Sealer combinations provided the superior sealing ability over the lateral condensation technique.


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