Comparative Analysis of Root Canal Dentin Removal Capacity of Two NiTi Endodontic Reciprocating Systems for the Root Canal Treatment of Primary Molar Teeth. An In Vitro Study

The objective of the present study was to evaluate and compare the dentin removal capacity of Endogal Kids and Reciproc Blue NiTi alloy endodontic reciprocating systems for root canal treatments in primary second molar teeth via a micro-computed tomography (micro-CT) scan. Materials and Methods: Sixty root canal systems in fifteen primary second molar teeth were chosen and classified into one of the following study groups: A: EK3 Endogal Kids (n = 30) (EDG) and B. R25 Reciproc Blue (n = 30) (RB). Preoperative and postoperative micro-CT scans were uploaded into image processing software to analyze the changes in the volume of root canal dentin using a mathematical algorithm that enabled progressive differentiation between neighboring pixels after defining and segmenting the root canal systems in both micro-CT scans. Volumetric variations in the root canal system and the root canal third were calculated using a t-test for independent samples or a nonparametric Mann–Whitney–Wilcoxon test. Results: Statistically significant differences (p = 0.0066) in dentin removal capacity were found between the EDG (2.89 ± 1.26 mm3) and RB (1.22 ± 0.58 mm3) study groups for the coronal root canal third; however, no statistically significant differences were found for the middle (p = 0.4864) and apical (p = 0.6276) root canal thirds. Conclusions: Endogal and Reciproc Blue NiTi endodontic reciprocating systems showed similar capacity for the removal of root canal dentin, except for the coronal root canal third, in which the Reciproc Blue NiTi endodontic reciprocating system preserved more root canal dentin tissue.

Effect of antioxidants agents on Dentinal Tubular Penetration of EndoREZ sealer on sodium hypochlorite-treated root canal dentin: A Scanning electron microscopic study v1

According to ISO, the canals were enlarged to a size 30, 6% taper with ProTaper gold (Dentsply Sirona, Ballaigues, Switzerland) by crown down technique (Singh et al., 2015).Irrigation was performed with Saline and 17% EDTA in Group I. After biomechanical preparation, groups II, III, IV, and V were irrigated with 5 mL-Sodium hypochlorite (5.25%) and 5 mL-EDTA (17%) for 1 minute. Irrigation was done on Groups III, IV, and V for an additional 10 minutes with 10% Ellagic acid, 5% Lycopene extract, and 5% Grape Seed Extract, respectively. After irrigation, the root canals were dried. The EndoREZ (Ultradent Products, Inc., South Jordan, Utah, USA) was used in the canals using a 25-size spreader (Mani Inc., Tochigi, Japan), followed by warm vertical condensation. Scanning Electron Microscope Analysis: The specimens were longitudinally sectioned. Then samples were immersed in 17% EDTA solution for 10 minutes, immersed in 5.25 percent sodium hypochlorite for 10 minutes, and lastly washed entirely with water to remove and smear the layer. Carbon sputtering was performed in the middle and apical thirds of the root canal to aid SEM (500x magnification) evaluation.

Comparative Evaluation of the Effect of Different Endodontic Irrigation Protocols on the Microhardness of Root Canal Dentin: An In Vitro Study

Aim and Objective The present in vitro study was done to comparatively evaluate the effect of different endodontic irrigation protocols on the microhardness at coronal, middle, and apical levels of root canal dentin. Method The total sample size for the study was 100. Each sample consisted of a longitudinally sectioned half of a root of a single-rooted tooth, which was then embedded in acrylic resin. The prepared samples were divided randomly into five groups of twenty samples each. Each group was treated with its respective irrigant to be tested. Group I was the control—the specimens were treated with distilled water. The specimens in group II were treated with sodium hypochlorite (NaOCl), followed by ethylenediamine tetra-acetic acid (EDTA). Specimens in group III were treated with NaOCl, followed by CHX. Specimens in group IV were treated with NaOCl, followed by hydroxyethylidene bisphosphonate (HEBP), and specimens in group V were treated with NaOCl, followed by propolis. Following this, all the samples were placed on the Vickers microhardness tester, and the results were tabulated and statistically analyzed to determine the irrigant solutions' effect on the microhardness of root dentin at coronal, middle, and apical third. Results Intergroup comparison of various irrigants showed that 18% HEBP showed the least reduction in the microhardness values of root canal dentin, and 17% EDTA caused the maximum decrease in microhardness values with a significant difference. When the baseline values were compared with the values after the use of experimental solutions in all the groups, it was observed that the microhardness gradually decreased from coronal to apical third of root dentin. Conclusion On the basis of the results obtained, it can be concluded that weak chelators such as 18% HEBP do not affect the microhardness considerably, and that they can be used in future in place of strong chelators, that is, EDTA, which make root dentin weak by more microhardness reduction.

Post-Space Treatment Influences the Bond Strength In Endodontically Treated Teeth: A Systematic Review and Meta-Analysis of In Vitro Studies

SUMMARY Objectives: This systematic review of in vitro studies investigated the influence of the post-space treatment used to remove the smear layer on the bond strength of the post to root canal dentin. Methods and Materials: In vitro studies included in this study were identified from PubMed/MEDLINE, Lilacs, and Scopus databases up until March 2019, without limits on publication year or language. Two reviewers independently selected the studies based on the inclusion and exclusion criteria, extracted the data, and evaluated the risk of bias of all studies. A random effects model was used for pairwise meta-analyses (control vs. post-space preparation groups) at a significance level of p<0.05. Results: Of the 2,832 potentially eligible studies, 453 studies were selected for full-text analysis, and 75 were included in this systematic review. Only one study was considered to have a low risk of bias. Overall, post-space treatment significantly improves the bond strength to root canal dentin (p<0.00001). Conclusion: Post-space treatment has a positive influence on the bond strength of the post to root canal dentin. In this review, the post-space treatments that improve the adhesive resistance of the post were ethanol, sodium hypochlorite, and ethylene diamine tetra-acetic acid (NaOCl + EDTA), NaOCl + EDTA + ultrasound, erbium-doped yttrium aluminium garnet laser (Er:YAG laser), neodymium-doped yttrium aluminium garnet laser (Nd:YAG laser), and diode laser.

Effect of Root Dentin Pretreatment on Micro-Push-Out Bond Strength of Fiber Posts to Root Canal Dentin: Cold Atmospheric Argon Plasma (CAAP) and Ethylenediaminetetraacetic Acid (EDTA)

Purpose. Debonding from the root canal dentin is the most common failure mode of fiber posts. This study aimed to assess the effects of cold atmospheric argon plasma (CAAP) and ethylenediaminetetraacetic acid (EDTA) on micro-push-out bond strength of fiber posts to root canal dentin. Materials and Methods. Forty maxillary canine teeth were decoronated, underwent endodontic treatment, and were stored in an incubator for 7 days. After post space preparation, the teeth were randomly divided into four groups for different surface treatments: (I) saline, (II) 17% EDTA, (III) CAAP, and (IV) 17% EDTA + CAAP. Fiber posts (Whitepost no. 2, FGM) were cemented into the root canals using Panavia F2.0 resin cement, and 1 mm-thick sections were made at the coronal, middle, and apical thirds of the roots. The samples underwent micro-push-out bond strength test. The mode of failure was also determined under a stereomicroscope. Data were analyzed using three-way ANOVA and Tukey’s post hoc test (α = 0.05). The mode of failure data were analyzed using the chi-square test. Results. The mean micro-push-out bond strength of fiber posts was not significantly different in the four groups ( P > 0.05 ). However, the bond strength values in the coronal third were significantly higher than the corresponding values in the apical third ( P = 0.01 ). There was no significant difference in the modes of failure between the groups ( P > 0.05 ). Conclusion. Application of CAAP alone or in combination with 17% EDTA could not successfully increase the bond strength of fiber posts to root canal dentin.

Quaternary ammonium silane (k21) based intracanal medicament triggers biofilm destruction

Background Compare antimicrobial efficacy of a quarternary ammonium silane (QAS)/k21 as an intracanal medicament against E. faecalis and C. albicans biofilms formed on root dentin. Methodology Dentin blocks were sterilized and E. faecalis and C. albicans microbial colonies were counted for colony-forming-units against 2%k21, 2%CHX and Ca(OH)2 medicaments. Biofilm colonies after 7 days on dentin were analysed using confocal laser scanning microscopy with live/dead bacterial viability staining. TEM was done to study dentin collagen matrix. Dentin discs from 3rd day and 7th day well plate was used for Raman spectra and observed under fluorescent-microscope. Docking studies were carried out on MMP-2 S1 binding-domain with k21. Results There was reduction of E. faecalis/C. albicans when k21, chlorhexidine and calcium hydroxide were used with highest percentage in 2%k21 treated specimens. 2%k21 showed dense and regular collagen network with intact cross-banding and decreased Raman intensity for 2%k21 on 3rd day. NaOCl + k21 showed least adherence, whereas saline groups showed highest adherence of E. faecalis and C. albicans to root-canal dentin. Alizarin red staining of hDPSCs revealed calcium deposition in all groups with significant difference seen amongst 2%k21 groups. MMP-2 ligand binding was seen accurately indicating possible target sites for k21 intervention. Conclusion 2%k21 can be considered as alternative intracanal medicament.