Effects of different root canal preparation methods on root fracture resistance: A systematic review of the literature

Post-placement is one of the treatment plans supporting the success of a restoration. The design of root canal preparation is a factor in the success of post-use. The purpose of this study was to investigate the root fracture resistance of the root canal preparation for cast post with a seat and non-seat preparation. The study was a laboratory experimental study using 20 upper central incisors that met the criteria in the study. Ten incisors were prepared using seat design while the other ten were prepared using non-seat design. Then tested the compressive test by Universal Testing Machine with test speed 0,5 mm/min. The results of the fracture strength were analyzed using t student statistical test. The analysis showed a significant difference between the non-seat group and the seat group (α=0.05). The average force in the non-seat group was 852.27 N with a standard deviation of 112.6 N while the seat group showed a value of 495.78 N and 82.90 N, respectively. It was concluded therefore that the root fracture resistance in the non-seat root canal preparation design was higher than the seat preparation design.

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A comparison of root fracture resistance using two root canal sealers

International Endodontic Journal ◽

10.1046/j.1365-2591.1999.00240.x ◽

1999 ◽

Vol 32 (5) ◽

pp. 376-380 ◽

Cited By ~ 29

Author(s):

M. J. Apicella ◽

R. J. Loushine ◽

L. A. West ◽

D. A. Runyan

Keyword(s):

Root Canal ◽

Fracture Resistance ◽

Root Fracture ◽

Root Fracture Resistance ◽

Root Canal Sealers

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Effects of Root Canal Sealers on Vertical Root Fracture Resistance of Endodontically Treated Teeth

Journal of Endodontics ◽

10.1097/00004770-200203000-00018 ◽

2002 ◽

Vol 28 (3) ◽

pp. 217-219 ◽

Cited By ~ 34

Author(s):

V LERTCHIRAKARN ◽

A TIMYAM ◽

H MESSER

Keyword(s):

Root Canal ◽

Fracture Resistance ◽

Endodontically Treated Teeth ◽

Root Fracture ◽

Vertical Root Fracture ◽

Root Fracture Resistance ◽

Root Canal Sealers

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Pathognomonic Combination of Clinical Signs for Diagnosis of Vertical Root Fracture: Systematic Review of the Literature

Applied Sciences ◽

10.3390/app112210893 ◽

2021 ◽

Vol 11 (22) ◽

pp. 10893

Author(s):

Tomer Goldberger ◽

Eyal Rosen ◽

Nuphar Blau-Venezia ◽

Aviad Tamse ◽

Dan Littner

Keyword(s):

Systematic Review ◽

Root Canal ◽

Clinical Symptoms ◽

Clinical Signs ◽

Sinus Tract ◽

Reference Standard ◽

Review Of The Literature ◽

Endodontically Treated Teeth ◽

Root Fracture ◽

Vertical Root Fracture

Introduction: Vertical root fracture (VRF) is a root-canal treatment complication and is a major reason for extraction of the root-canal-treated teeth. The diagnosis of VRF can be complicated because of absence of specific signs, symptoms, and radiographic features. A combination that includes the presence of deep pocket and a sinus tract in root-canal-treated tooth was proposed as a pathognomonic for VRF. The purpose of this study was to systematically search and evaluate the literature regarding the correlation between the clinical signs considered pathognomonic for the diagnosis of VRF, with the actual reference standard by means of systematic review of the literature. Methods: A systematic search of the literature was performed to identify studies evaluating the clinical signs considered pathognomonic for the diagnosis of VRF. The following databases were searched: Medline (PubMed), Scopus, and Cochrane Central. The identified studies were subjected to strict inclusion and exclusion criteria. Results: Initially, 1141 possible relevant articles were identified. After title and abstract screening, 40 articles were subjected to a full-text evaluation, 3 articles met the inclusion criteria and contained data regarding the prevalence of the pathognomonic combination in VRF’s-confirmed teeth. The presence of deep pocket and a sinus tract in endodontically treated teeth was found in 28% of the cases. Conclusion: To date, the current scientific knowledge regarding the correlation between the clinical symptoms considered pathognomonic for VRF diagnosis in the root-canal-treated tooth and the actual reference standard is quite low.

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Influence of Root Canal Sealers and Obturation Techniques on Vertical Root Fracture Resistance. An In Vitro Experiment

Applied Sciences ◽

10.3390/app11178022 ◽

2021 ◽

Vol 11 (17) ◽

pp. 8022

Author(s):

Mazen F. Alkahtany ◽

Khalid H. Almadi ◽

Fahad A. Alahmad ◽

Abdullah M. Alshehri ◽

Abdulrahman A. AlSwayyed ◽

...

Keyword(s):

Fracture Strength ◽

Root Canal ◽

Fracture Resistance ◽

Positive Control ◽

Negative Control ◽

Root Fracture ◽

Vertical Root Fracture ◽

Single Cone ◽

Ah Plus ◽

Root Fracture Resistance

The aim of the present study was to determine the vertical root fracture (VRF) resistance of roots obturated with TotalFill BC Sealer and AH Plus sealer using lateral condensation and single cone techniques in comparison to untreated controls. Sixty single rooted mandibular premolars were sectioned and divided into six groups. Ten teeth were left untreated (positive control-Gp 1) and fifty teeth were cleaned and shaped. Ten root specimens were left unfilled (negative control-Gp 2) and the remaining roots were divided into 4 groups. Gp 3, GP and AH Plus sealer (AH Plus) using the cold lateral compaction (LC) technique; Gp 4, GP and AH Plus using the Single Cone (SC) technique; Gp 5: TotalFill GP and TotalFill BC sealer using the LC technique; Gp 6: TotalFill GP and TotalFill BC sealer with SC. VRF was performed for all specimens using a universal testing machine. Analysis of variance (ANOVA) and Tukeys post-hoc multiple comparison test was used to compare the means among tested study groups. Group 1 (positive control) displayed the highest fracture resistance (946.61 ± 166.465 N); however, the lowest fracture strength was demonstrated by the specimens in group 2 (negative control) (433.31 ± 129.350 N). Specimens treated with AH plus using different obturation techniques (group 3 and 4) showed comparable outcomes (p > 0.05). Similarly, specimens treated with TotalFill BC sealer with different obturation techniques showed statistically similar outcomes (p > 0.05). It was also observed that specimens in groups 3, 4, 5 and 6 demonstrated comparable outcomes of fracture strength (p > 0.05). The use of TotalFill-BC sealer showed similar vertical root fracture resistance as AH plus sealer in root canal treated teeth. Use of total fill-BC and AH Plus sealer in root canal treatment showed vertical root fracture resistance comparable to untreated natural teeth (positive controls).

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A Comparative Evaluation of the Vertical Root Fracture Resistance of Endodontically Treated Teeth using Different Root Canal Sealers: An in vitro Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1150 ◽

2012 ◽

Vol 13 (3) ◽

pp. 351-355 ◽

Cited By ~ 5

Author(s):

MB Prashanth ◽

Pradeep N Tavane ◽

BM Annapoorna ◽

NT Prashanth ◽

BS Deepak ◽

...

Keyword(s):

Root Canal ◽

Fracture Resistance ◽

Negative Control ◽

Endodontically Treated Teeth ◽

Root Fracture ◽

Vertical Root Fracture ◽

Gutta Percha ◽

Root Fracture Resistance ◽

Experimental Group

ABSTRACT Objective The objective of this study is to evaluate the vertical root fracture resistance of endodontically treated teeth obturated with – Tubli-Seal EWT/Gutta-percha, AH Plus/Gutta-percha, Epiphany SE sealer/Epiphany point. Study design Sixty-five single rooted premolars were decoronated and root length was 14 mm for each specimen. Fifty five teeth were enlarged up to ISO size 40 master apical file with stainless steel K-files using standardized preparation and remaining ten teeth were served as negative control. Then teeth were randomly assigned into different groups depending on sealer used for obturation as follows: Group 1 Negative control—no instrumentation was performed. Group 2 Positive control—gutta-percha with out the use of any sealer. Group 3 Experimental group—gutta-percha and Tubli-Seal EWT root canal sealer. Group 4 Experimental group—gutta-percha and AH Plus. Group 5 Experimental group—epiphany SE sealer and epiphany points. After 72 hours, the specimens were embedded in autopolymerizing resin leaving 7 mm of each root exposed and were subjected to fracture testing under universal testing machine at a crosshead speed of 1.0 mm per minute until the root fractured. Results were statistically analyzed using one-way ANOVA and independent t-test. Results Showed that Epiphany SE sealer/Epiphany points showed highest mean fracture resistance and Tubli-Seal EWT group showed the least fracture resistance of all the materials tested. There was no statistically significant difference among experimental groups. Conclusion Epiphany SE sealer/Epiphany points demonstrated highest fracture resistance values than the other materials tested and intact tooth had highest resistance against vertical root fracture. Clinical significance Epiphany SE sealer/Epiphany points may be one of the materials of choice in the endodontic treatment of teeth. How to cite this article Nagpal A, Annapoorna BM, Prashanth MB, Prashanth NT, Singla M, Deepak BS, Singh A, Tavane PN. A Comparative Evaluation of the Vertical Root Fracture Resistance of Endodontically Treated Teeth using Different Root Canal Sealers: An in vitro Study. J Contemp Dent Pract 2012;13(3):351-355.

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