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Results for “Retrograde Obturation”

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At least 73 records · Page 4Linked to original sources
PubMed1990

An in vitro evaluation of injectable thermoplasticized gutta-percha, glass ionomer, and amalgam when used as retrofilling materials.

An in vitro dye leakage study was performed to evaluate the sealing ability of the following retrofilling materials: high- and low-temperature injectable thermoplasticized gutta-percha with and without sealer, a glass ionomer cement, and amalgam with and without varnish. The roots of 105 extracted human maxillary anterior teeth were instrumented and obturated with single cones of gutta-percha and sealer. The apical 3 mm of the roots were then resected and 2-mm deep retrograde preparations were prepared. Each root was then randomly placed into one of seven groups and retrofilled with one of the test materials. After 72 h in India ink, the roots were cleared and evaluated for leakage using a stereomicroscope. Statistical analysis of the results indicated that injectable high-temperature gutta-percha without sealer demonstrated significantly more leakage than the other materials. There were no significant differences in leakage among the other evaluated materials.

Dental Amalgam↗
PubMedDate not supplied

[Nonsurgical retreatment of lateral radiopacity after surgical treatment].

A case report is presented of an upper central incisor with incomplete endodontic procedure evidencing a radiolucent image that was treated by apicoectomy and retroamalgam. A year later the periapical lesion had healed completely but a new lateral radiolucency is observed. A reentry of the canal is performed eliminating the old obturating material, biomechanical preparation and obturation with sealer and thermo gutta-percha. The lesion was cured in nine months.

Adult↗
PubMed2004

Effect of root-end resection and root-end filling on apical leakage in the presence of core-carrier root canal obturation.

AIM: To evaluate the apical seal of canals filled with a core-carrier obturator following root-end resection with and without a root-end filling. METHODOLOGY: Thirty single-rooted human teeth with single canals were used. Root canal treatment was performed and canals filled with a core-carrier obturation technique. The teeth were then randomly assigned to three groups (n = 10). In the first group root canal filling only was performed. After orthograde filling, the teeth of the second group were resected apically, perpendicular to the major axis of the root. In the third group after apical resection, a root-end cavity was prepared using ultrasonic diamond retrotips and the cavities filled with Super-EBA cement. During a period of 3 h and with a headspace pressure of 0.12 atm, methylene-blue solution was forced through a tube that was connected to the apical end of each tooth specimen. The coronal end of the tooth was connected to a capillary tube containing an air bubble. Leakage was evaluated by observing the distal displacement of the air bubble. The roots were then sectioned along their long axis. Using a stereomicroscope, linear dye infiltration at the dentine-cement interface was determined. Kruskal-Wallis and Mann-Whitney tests were used to compare the three groups. RESULTS: Linear dye infiltration was significantly greater in root canals filled with the core-carrier obturators and resected apically (0.9 +/- 0.9 mm) when compared with those that had root-end fillings (0.2 +/- 0.4 mm). Air bubble displacement was not observed. CONCLUSION: Root-end filling improves the sealing of roots with core-carrier obturation following root-end resection.

Adolescent↗
PubMed2005

Effects of diode laser irradiation on smear layer removal from root canal walls and apical leakage after obturation.

OBJECTIVE: The objective of this study was to investigate the rise in temperature in root surfaces during and immediately after diode laser irradiation, to observe morphological changes of root canal wall after irradiation, and to evaluate the apical leakage after irradiation and obturation in vitro. BACKGROUND DATA: There have been very few reports on root canal treatment by 980-nm wavelength diode laser. METHODS: Sixty-six extracted human single-rooted teeth were instrumented up to size 60 K-file, and then randomly divided into three groups of 22 teeth each. Groups 1 and 2 were irradiated with a diode laser at 5 W for 7 sec using fibers of diameters 550 and 365 microm, respectively. Group 3 was not irradiated, and served as a control. The rise in temperature on root surfaces of the teeth in groups 1 and 2 were measured by thermography. Six teeth in each group were bisected longitudinally and observed morphologically. Other teeth were obturated and immersed in rhodamine B solution, and the degree of apical leakage was evaluated longitudinally and transversally. RESULTS: A maximum temperature rise of 8.1( degrees )C was recorded in group 1. The smear layer in the laser-treated groups was evaporated and removed, resulting in clean root canal walls, which was significantly superior to the control group (p < 0.05). After obturation, the laser-treated groups showed significantly less apical leakage than the control group (p < 0.05). CONCLUSIONS: These results indicate that the diode laser is useful for removing smear layer and debris from root canal walls, and reducing apical leakage after obturation in vitro, and suggest that it would be useful for root canal treatment in clinic.

Dental Leakage↗
PubMed2005

Efficient correction of endodontic obturation and single-appointment CAD/CAM restoration.

Endodontic treatment, when performed with proper instrumentation, canal disinfection, and obturation can be a tremendous service to a dental patient and a key component of any restorative practice. It can be complicated by factors such as poor diagnosis, incomplete canal debridement, ineffective obturation, bacterial invasion, and insufficient restorative treatment. Retreatment or even tooth loss can occur when the canal space is not handled properly. This article demonstrates a procedure for the correction of pre-existing obturation and subsequent treatment with an all-ceramic restoration in a single visit.

Adult↗
PubMedDate not supplied

[Epidemiologic study of the prevalence of dental caries in patients with Down syndrome].

This investigations is carried out order to find out the caries prevalence in a population affected by the Down syndrome. The rates obtained to fulfill this objective were CAOD and CAOS for the permanent dentition, and COD and COS for the temporary one. A total of 95 pupils between 6 and 21 years old were examined. 3 groups according to the age were established: the first one between 6 and 8 years old, the one between 9 and 13 years old and the third one between 14 and 21 years old. The following percentages were set for each age group and for boys and girls separately: Carious surfaces in permanent dentition, carious surfaces in temporal dentition, obturated surfaces in permanent dentition, obturated surfaces in temporal dentition and missing surfaces. The results indicate that the caries prevalence in these patients is similar to that obtained in other studies. Nevertheless, the number of obturations found is much smaller.

Adolescent↗
PubMed1991

Relation of pre- and intraoperative factors to prognosis of posterior apical surgery.

The relation of preoperative and intraoperative factors to the prognosis of apical surgery was studied in 136 premolar and molar roots. The evaluated factors were: clinical signs and symptoms, size of the periapical lesion, root canal obturation, tooth restoration, apical retrofilling, and the operating surgeon. A significantly higher success rate was found in roots obturated 2 mm or shorter of the apex, in roots without post restoration, and after retrofilling of roots with apparently well-condensed obturation. The prognosis differed significantly following treatment by various operators but was unrelated to their experience.

Apicoectomy↗
PubMed1996

Treatment of labial fenestration of maxillary central incisor.

A case of external inflammatory root resorption and labial fenestration in a maxillary central incisor is presented. The root canal was dressed with pure calcium hydroxide mixed with normal saline for 1 month before it was obturated with gutta percha and apicoectomy surgery undertaken to attempt primary closure of the fenestration. The PDL and the fenestration healed uneventfully.

Alveolar Bone Loss↗
PubMed2006

The evaluation of the use of a delayed surgical obturator in dentate maxillectomy patients by considering days elapsed prior to commencement of postoperative oral feeding.

STATEMENT OF PROBLEM: As a prosthodontic treatment for a maxillectomy patient in the initial postoperative period, immediate surgical obturators during surgery have been advocated to restore and maintain the patient's oral function to a reasonable level. However, these may fit poorly because they are fabricated using preoperative casts. PURPOSE: The purpose of this study was to determine the comparative usefulness of a delayed surgical obturator. MATERIAL AND METHODS: During the period from 2000 to 2004, 29 patients underwent prosthodontic treatment after maxillectomy. Twenty-three patients who were dentate postoperatively and were treated with polyvinyl acetal (Merocel) packing and a delayed surgical obturator were included in this study. Patients who were edentulous postoperatively, who were treated with an immediate surgical obturator or whose data were incomplete were excluded. The records of 23 patients were reviewed to determine the usefulness of using a delayed surgical obturator by counting days required to start postoperative oral feeding. The median of days elapsed prior to commencement of postoperative oral feeding was compared with data from a study by Lapointe et al (1996). In the Lapointe et al study, the median days elapsed prior to beginning a clear fluid diet was 2 in the group using immediate surgical obturators. The data were analyzed using the 1-sample Wilcoxon signed rank test (alpha=.05). RESULTS: Days elapsed prior to commencement of postoperative oral feeding were less than those reported previously. Patients with Merocel packing began oral feeding, on average, 1.48 days after the maxillectomy. The median number of days elapsed prior to commencement of postoperative oral feeding was 1. This time was earlier than the 2 days for the Lapointe et al study (P=.0074). No major postoperative care complications occurred among the maxillectomy patients treated with a delayed surgical obturator. CONCLUSION: Delayed surgical obturators were successful in terms of the postoperative care of dentate maxillectomy patients and did not increase patient discomfort during early rehabilitative management.

Adult↗
PubMed1992

A case of progressive external root resorption treated with surgical exposure and composite restoration.

Progressive external, root resorption was observed apical to the alveolar crest on the buccal surface of a tooth. The area of root resorption was surgically exposed. To gain access to the root resorption cavity osteoectomy was performed. The soft tissue in the resorption cavity was removed and a composite filling (Retroplast) was placed in the cavity using a dentine bonding system (Gluma). The pulp was removed and the root canal was obturated with gutta-percha points and root canal sealer (AH26). Eight months after treatment no further root resorption was observed. Increased pocket depth and slight bleeding on probing in the area of resorption were evident.

Bicuspid↗
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↗
PubMed2004

MTA for obturation of mandibular central incisors with open apices: case report.

The case reported demonstrates dramatic healing of the periapical region of retreated root canals with open apices by the successful use of mineral trioxide aggregate (MTA). Unsuccessful conventional root canal therapy for the mandibular central incisors had been followed by surgical treatment. The severely damaged root canals were obturated using MTA in anticipation of the formation of artificial apical plugs. The treated teeth were asymptomatic, and radiographic examination demonstrated apparent regeneration of periradicular tissue 2 years after the obturation. MTA can be considered a very effective material to promote regeneration of apical tissue, even in teeth with large open apices.

Aluminum Compounds↗
PubMed1999

Complex treatment of dens invaginatus type III in maxillary lateral incisor.

The complex anatomy and diagnosis of dens invaginatus make endodontic treatment of such teeth difficult. This case describes combined nonsurgical and surgical treatment of a maxillary lateral incisor with a normally shaped canal and a dens invaginatus type III with a lateroradicular lesion. The root canal was treated conventionally with gutta-percha and a zinc oxide-eugenol sealer. The root was surgically exposed and the canal of the dens invaginatus was cleaned, instrumented and obturated with gutta-percha and a zinc oxide-eugenol sealer. At follow-up 3 years 6 months later, the tooth was asymptomatic and radiographically showed repair of the lesion in the region of the dens invaginatus.

Adolescent↗
PubMed1999

Super-EBA as an endodontic apical plug.

Forty extracted human single-rooted teeth were sequentially instrumented with nickel-titanium rotary files to a size 0.36 mm at the working length. Ten teeth were randomly assigned to the two control groups. The other 30 teeth were randomly divided into three groups and were obturated by a 5-mm apical plug of either Super-EBA, IRM, or laterally condensed gutta-percha and Roth's sealer. After 2 days, and at 1 month, the samples were tested for microleakage by the fluid filtration system under 15 psi. The negative controls were used to consider the time that it took the fluid filtration system to stabilize. A one-way analysis of variance showed that, at 1 month post obturation, there was no statistical difference in the ability of the three materials to seal the apex from coronal microleakage. However, at 2 days, Super-EBA gave a significantly better seal than IRM or laterally condensed gutta-percha and sealer.

Analysis of Variance↗
PubMed2000

In vitro evidence that lipopolysaccharide of an oral pathogen leaks from root-end filled teeth.

AIM: The ability to achieve a complete apical seal of the root canal system is thought to be important in the success of non-surgical and surgical endodontics. The aim of this study was to establish whether or not root-end filled teeth allow leakage of lipopolysaccharide (LPS) from a known oral pathogen in vitro. METHODOLOGY: Lipopolysaccharide (LPS) from a virulent strain of Prophyromonas gingivalis (P. gingivalis) (A7436 from patient with refractory periodontitis), was isolated by the Westphall and Jann technique, dialysed extensively, lyophilyzed, resuspended in distilled water and analysed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE). Root canals from 10 teeth were instrumented endodontically and the apical 3 mm of resected roots were filled with gutta-percha. The teeth were mounted in 12 mL polypropylene vials by using sticky wax and root surfaces were covered with two layers of nail varnish. Teeth were filled with 3.3 mg mL-1 LPS and the vials filled with 11 mL of Tris Buffered Saline (TBS) containing 0.05% sodium azide. Both positive and negative controls were run in parallel with the experimental specimens. Aliquots were removed each day and subjected to slot blot analysis to quantitate the amount of LPS that had leaked into the bottom of the vials. The density of slots was analyzed using a laser densitometer and regression analysis was used to generate a standard curve, confidence intervals and experimental values. RESULTS: The data indicated that teeth obturated apically with gutta-percha leaked, whilst no LPS leakage was detected in teeth covered completely with nail varnish (P < 0.05). CONCLUSIONS: In vitro teeth with gutta-percha root-end fills can permit leakage of LPS from an identified oral pathogen.

Apicoectomy↗
PubMed1995

Management of diffuse tissue argyria subsequent to endodontic therapy: report of a case.

A case of severe mucogingival argyria secondary to leakage around and corrosion of silver cone root canal obturations and apical amalgam restorations is presented. Following removal of the silver points and re-treatment of the root canals, periradicular surgery was performed to remove the amalgam root-end restorations and reduce the amount of dispersed metallic particles in the subcutaneous tissues. Subsequent free gingival grafting created an esthetically pleasing and biologically acceptable result.

Adult↗
PubMed2003

Treatment of a non-vital immature incisor with mineral trioxide aggregate (MTA).

- A case of severe crown fracture and luxation in the upper permanent incisors of a 9-year-old boy is reported. The treatment of one of the injured teeth included apexification with calcium hydroxide and endodontic treatment with gutta-percha obturation. The other incisor was also treated with calcium hydroxide, but as there was no apical stop after 3 years of treatment, it was decided to use a new root-end filling material: mineral trioxide aggregate (MTA). At follow-up 12 months later, the tooth was asymptomatic and radiographically showed the initial repair of the radiolucent apical lesion.

Aluminum Compounds↗