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PubMed2004

Root canal obturation by ultrasonic condensation of gutta-percha. Part II: an in vitro investigation of the quality of obturation.

AIM: To compare the quality of root canal obturation using ultrasonic or cold condensation of gutta-percha and to determine the effect of power setting and activation time on the quality of obturation using the former technique. METHODOLOGY: An extracted human maxillary canine was used in an in vitro split tooth model to allow repeated obturation of the same root canal system using an ultrasonic device to thermocompact gutta-percha without sealer. After each obturation, the root filling was removed from the tooth to allow evaluation of its quality and for the tooth to be re-obturated. The influence of combinations (n = 10 per combination) of power setting (1, 3, 5) and activation times (4, 10, 15 s) was tested on the quality of root filling, assessed by measuring the voids within the body of the root filling as well as at the surface. Image analysis was used to quantify the voids within the body of the root filling. Cold lateral condensation of gutta-percha served as a control. RESULTS: Both surface and cross-sectional analyses revealed that different power setting and activation time combinations produced significantly fewer voids than cold lateral condensation (P < 0.05) at the apical, mid-root and coronal levels. CONCLUSIONS: Taking surface and cross-sectional analysis together only power setting 5 and activation times of 10 and 15 s consistently produced ultrasonically thermocompacted root canal fillings with fewer voids than cold lateral condensation without sealer.

Cold Temperature↗
PubMed2002

[Limit of root canal obturation by gutta percha compaction technique in single rooted teeth. Clinical data apropos of 168 canals].

After the introduction of the lateral compactage of gutta percha in endodontic clinic of OdontoStomatology Institute of Dakar in 1995; the immediate evaluation of the quality and the limit of the canal obturation due to a prospective study on 157 monoradicular teeth so be 168 canals (11 supplementary canals) has shown that 75% of canals are of type I of Vertucci and that the apical limit of security is reached within 80.25% of cases. The manual step back canal preparation (79.17%) and the technique of canal obturation by lateral compactage of gutta percha [(64.88%); Apical limit of security: 59.52%] permit to obtain a densities (95.83%) and homogeneous (79.57%) canal obturation. The indication of gutta percha compactage on monoradicular teeth (hermetic and tridimensional root canal filling) must avail to apical curved roots of lateral incisive, the use of adapted instruments in case of canines (31 mm) and apical stop cone on necrotic pulp teeth.

Adult↗
PubMed2004

Effect of a separated instrument on bacterial penetration of obturated root canals.

The aim of this study was to determine the effect a separated instrument has on the time required for bacterial penetration of obturated root canals. Twenty-six extracted human mandibular premolars with single canals were used in the study. Group 1 consisted of teeth that contained a separated size 40 Profile rotary file and were obturated with gutta-percha and zinc oxide eugenol sealer to the level of the separated file. Group 2 consisted of teeth that were similarly obturated, but without a separated file. The negative control canals were obturated and had the entire root surface sealed with nail polish. The positive controls were obturated without sealer. Streptococcus sanguis was placed in the access chamber daily, and penetration was determined when turbidity was noted in the culture broth. The results showed no significant difference between the two experimental groups.

Bicuspid↗
PubMed1994

Effectiveness of various medications on postoperative pain following root canal obturation.

This prospective study compared the effectiveness of nine medications and a placebo in controlling pain following obturation. A total of 588 patients who required root canal obturation were included. After obturation of root canals, each patient took one of the medications, salicylic acid (2 x 250 mg), acetaminophen (2 x 250 mg), ibuprofen (2 x 250 mg), ketoprofen (2 x 250 mg), acetaminophen (2 x 250 mg) plus codeine (2 x 250 mg), penicillin (2 x 250 mg), erythromycin base (2 x 250 mg), penicillin plus ibuprofen (2 x 250 mg), methylprednisolone (2 x 250 mg) plus penicillin (2 x 250 mg), or a placebo, every 6 h for 72 h. All medications were encapsulated in identical capsules. The patients registered their degree of discomfort on a visual analogue scale of 0 to 9. Statistical analysis of the data showed that the incidence of postoperative pain after obturation is lower than that following complete cleaning and shaping (5.83% versus 21.76%). In addition, there was no significant difference between the effectiveness of the various medications and placebo tablets in controlling postoperative pain following obturation.

Acetaminophen↗
PubMed1992

Root canal obturation using Thermafil endodontic obturators in dog teeth.

The technique of using Thermafil endodontic obturators to fill root canals in dog teeth is discussed in detail. Stainless steel carriers coated with gutta-percha were heated and inserted in instrumented canals of dog teeth. The ease of the technique is discussed and obturation efficacy is evaluated. No perfect apical seal was achieved.

Animals↗
PubMed2002

New core and sealer materials for root canal obturation and retrofilling.

A new endodontic obturation and retrofilling material has been invented to satisfy Grossman's requirements for an ideal material. Methylene blue dye leakage studies were carried out to compare the new material with conventional products, for both obturation and retrofilling. The experimental material when used in root canal obturation had a mean apical leakage of 0.49+/-0.27 mm, compared with 3.75+/-2.81 mm for the conventional material (p < 0.01, t test). Retrofilling leakage was not significantly different from that of a glass-ionomer (p < 0.01, t test) but was substantially lower than that of MTA and Super EBA (p < 0.01, Chi-square test). It was concluded that leakage in root canal obturation was reduced by an order of magnitude and in retrofilling was significantly better than clinically advocated materials. It was inferred that the adhesion mechanism used has contributed to the reduction in leakage.

Adhesiveness↗
PubMed1992

Effect of different sealers on thermoplasticized Gutta-percha root canal obturations.

The objective of this study was to test the hypothesis that the apical seal provided by thermoplasticized root canal obturations depends on the film thickness of the sealer used. The root canals of 120 maxillary cuspid teeth were instrumented and divided into six equal groups of 20 teeth. A thermoplasticized gutta-percha root canal obturator was used to make an impression of the lubricated canal and coated with a sealer cement before reseating. Five different sealer cements of known film thickness were studied. They were, in the decreasing order of film thickness, Roth's Type I Cement, Seal-apex, Lee Endofil, AH26, and Ketac-Cem. The control group that received no sealer was prepared as recommended by the manufacturer. The degree of microleakage was based on the depth of dye penetration from the apical end measured by two independent examiners. The data collected were analyzed by analysis of variance and Weibull distribution. Analysis of variance shows that the control group exhibited significantly higher dye penetration depth (p < 0.05) while there were no significant differences among the other five groups. Analysis by Weibull distribution function shows that Lee Endofil and AH26 exhibited a higher percentage of lower linear dye penetration values compared with other groups.

Analysis of Variance↗
PubMed1997

Thermographic assessment of root canal obturation using thermomechanical compaction.

The temperature changes on the root surface of 30 extracted human premolar teeth during thermomechanical root canal obturation with gutta-percha were determined using an infrared thermal imaging camera. Three handpiece rotational speeds of 8, 12 and 16 x 10(3) r.p.m. were used, in conjunction with a Gutta Condensor. On completion of the procedure, the quality of tooth canal obturation was examined radiographically. Under the conditions of this experiment, surface root temperature rises of > 97 degrees C were recorded during all three speed settings. The radiographic quality of obturation between the groups appeared not to be significantly different. The clinical relevance of these findings is uncertain, but the temperatures reported are of a magnitude to be of biological importance.

Analysis of Variance↗
PubMed1995

A comparative study of the sealing ability of two root canal obturation techniques.

A comparison was made of the ability of two root canal obturating techniques to prevent dye microleakage: gutta-percha lateral condensation and mechanically plasticized gutta-percha (JS Quick-fill). Twenty central incisors were prepared and obturated by each technique. After rendering the teeth transparent, linear dye penetration was found to be 0.48 and 0.52 mm, respectively. The difference between the two techniques was not significant. As for the distribution of the sealing cement (AH26) in the teeth obturated with JS Quickfill, the cement was located in the most peripheral zone of the obturation alongside the dentinal walls, whereas the gutta-percha was found in the central part of the canal obturating material.

Dental Leakage↗
PubMed2004

The effect of MTAD on the coronal leakage of obturated root canals.

The purpose of this study was to evaluate the effect of smear-layer removal using MTAD on coronal leakage of obturated root canals using a dye-leakage test. Fifty, extracted, single-rooted, human teeth were cleaned and shaped and divided into 5 equal groups of 10 each. The smear layer in groups 1 to 3 was left intact. The smear layer in groups 4 and 5 was removed using 17% EDTA or MTAD, respectively. After obturation of root canals, the access opening to each canal was filled with India ink for 48 h. The depth of coronal-dye penetration was measured using the Sigmascan software. ANOVA showed statistically significant differences among the groups (p < 0.05). Samples treated with MTAD yielded significantly less leakage than samples treated with sodium hypochlorite. The amount of dye penetration was not statistically different between teeth treated with MTAD or EDTA (p = 0.062).

Analysis of Variance↗