scholarly journals Evaluation of Threshold Values for Root Canal Filling Voids in Micro-CT and Nano-CT Images

Scanning ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Kaan Orhan ◽  
Reinhilde Jacobs ◽  
Berkan Celikten ◽  
Yan Huang ◽  
Karla de Faria Vasconcelos ◽  
...  
Keyword(s):  
Root Canal ◽  
Ct Images ◽  
Void Volume ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Voxel Size ◽  
Significance Level ◽  
Root Canals ◽  
Ah Plus ◽  
Post Hoc

While several materials and techniques have been used to assess the quality of root canal fillings in micro-CT images, the lack of standardization in scanning protocols has produced conflicting results. Hence, the aim of this study was to determine a cutoff voxel size value for the assessment of root canal filling voids in micro-CT and nano-CT images. Twenty freshly extracted mandibular central incisors were used. Root canals were prepared with nickel titanium files to an ISO size 40/0.06 taper and then filled with a single cone (40/0.06 taper) and AH Plus sealer. The teeth were scanned with different voxel sizes with either micro-CT (5.2, 8.1, 11.2, and 16.73 μm) or nano-CT (1.5 and 5.0 μm) equipment. Images were reconstructed and analyzed with the NRecon and CTAn software. Void proportion and void volume were calculated for each tooth in the apical, middle, and coronal thirds of the root canal. Kruskal-Wallis and post hoc Mann–Whitney U tests were performed with a significance level of 5%. In micro-CT images, significantly different results were detected among the tested voxel sizes for void proportion and void volume, whereas no such differences were found in nano-CT images (p>0.05). Micro-CT images showed higher void numbers over the entire root length, with statistically significant differences between the voxel size of 16.73 μm and the other sizes (p<0.05). The values of the different nano-CT voxel sizes did not significantly differ from those of the micro-CT (5.2, 8.1, and 11.2 μm), except for the voxel size of 16.73 μm (p<0.05). All tested voxel sizes enabled the detection of root canal filling voids except for the voxel size of 16.73 μm. Bearing in mind the limitations of this study, it seems that a voxel size of 11.2 μm can be used as a reliable cutoff value for the assessment of root canal filling voids in micro-CT imaging.

scholarly journals Micro-CT Evaluation of Root Filling Removal after Three Stages of Retreatment Procedure

2015 ◽  
Vol 26 (6) ◽  
pp. 612-618 ◽  
Author(s):  
Ricardo Abreu da Rosa ◽  
Manuela Favarin Santini ◽  
Bruno Cavalini Cavenago ◽  
Jefferson Ricardo Pereira ◽  
Marco Antônio Húngaro Duarte ◽  
...  
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Tomography System ◽  
Filling Materials ◽  
Ct Evaluation ◽  
Ah Plus ◽  
Post Hoc

The aim of this study was to quantify the residual filling material after filling removal, re-preparation with rotary or reciprocating files and passive ultrasonic irrigation (PUI). Twenty maxillary molars were prepared using ProTaper instruments up to F1. The teeth were filled with AH Plus and ProTaper gutta-percha points using the single-cone technique. Thereafter, the specimens were scanned using a micro-computed tomography system (Micro-CT #1). Then, the root canal filling was removed using ProTaper Retreatment files, and a new scan was performed (Micro-CT #2). The specimens were divided into two groups according to the instrument used for re-preparation: ProTaper rotary or WaveOne reciprocating files (Micro-CT #3). Finally, PUI was performed, and a new micro-CT scan was performed (Micro-CT #4). Intragroup and intergroup analyses were performed using Friedman and Dunn's post hoc test and the Kruskal-Wallis and Dunn post hoc tests, respectively. Palatal canal presented the highest volume of residual filling material in all stages of endodontic retreatment (p<0.05). The main reduction of filling volume was achieved after using ProTaper Retreament (p<0.05). The amount of remaining filling material after using ProTaper Retreatment was similar to that achieved with rotary and reciprocating files and after PUI (p>0.05). Rotary and reciprocating files achieved similar removal of the root canal filling (p>0.05). The greatest reduction in filling material was achieved after using ProTaper Retreatment files. Rotary and reciprocating instruments and PUI did not improve the removal of root canal filling materials.

scholarly journals Effect of a sonic device on bonding of fiberglass posts to root canals

2018 ◽  
Vol 17 ◽  
pp. e18924
Author(s):  
Marina de Almeida Salim ◽  
Thais Mageste Duque ◽  
Heloisa Carla Dell Santo Gusman ◽  
Carolina Oliveira de Lima ◽  
Brenda Paula Figueiredo de Almeida Gomes ◽  
...  
Keyword(s):  
Root Canal ◽  
Adhesive System ◽  
Resin Cement ◽  
Root Canal Filling ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Root Dentin ◽  
Post Hoc ◽  
Adhesive Cement

Aim: This study evaluated the effect of a sonic device on the bonding of fiberglass posts cemented with a self-etching adhesive combined with conventional cement or a self-adhesive cement to root dentin. Methods: Forty single-rooted bovine incisors were endodontically prepared using a step-back technique. Gutta-percha and AH Plus sealer were used for root canal filling, combined with a thermoplasticization technique. After 1 week, the post space was prepared and the roots were divided into four groups according to the following factors: adhesive system/resin cement (Ambar/ AllCem Core [FGM] and RelyX U200 [3M]) and application mode (manual or sonic). The posts were cemented and the roots were cut into discs and submitted to push-out bond strength (POBS) test. The failure mode was evaluated using a stereoscope at 25x magnification. The data were analyzed statistically using ANOVA and Tukey’s post-hoc test (α = 0.05). Results: The sonically activated RelyX U200 group was superior to the other groups. RelyX U200 manually applicated showed similar results to those of sonically activated Âmbar/AllCem. These three groups outperformed the Âmbar/AllCem manually applicated group. Adhesive failure between dentin and resin cement was the most predominant pattern. Conclusion: Sonic application of self-etching adhesive and self-adhesive cement improved the POBS of fiber posts to the root canal.

scholarly journals Micro-CT analysis of dentinal microcracks on root canals filled with a bioceramic sealer and retreated with reciprocating instruments

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Andressa Almeida ◽  
Kaline Romeiro ◽  
Marcely Cassimiro ◽  
Luciana Gominho ◽  
Eugênia Dantas ◽  
...  
Keyword(s):  
Root Canal ◽  
Material Removal ◽  
Filling Material ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Root Canals ◽  
Type Iv ◽  
Ct Analysis ◽  
Ah Plus ◽  
Reciprocating Instruments

Abstract This study aimed to analyze the potential occurrence of dentinal defects after the removal of a root canal filling with two different sealers using Reciproc (RC) or Reciproc Blue (RB). The mesial roots of 60 mandibular molars with a Vertucci type IV configuration were selected. The samples were initially instrumented with Reciproc (R25) and then divided into the following four experimental groups according to the endodontic sealer and retreatment instrument (n = 15): BC Sealer/Reciproc (BCRC); BC Sealer/Reciproc Blue (BCRB); AH Plus/Reciproc (AHRC); and AH Plus/Reciproc Blue (AHRB). Then, the samples were scanned under micro-CT after obturation and removal of the filling material. Two analyses were conducted. First, an evaluation was performed on all the axial images, and another analysis evaluated each millimeter of the 10 mm from the apex. Dentinal defects were observed in all the samples. All of the identified defects in the images after filling material removal were present in the corresponding images after obturation. The use of AH Plus and EndoSequence BC Sealer, and filling material removal using RC and RB instruments did not induce dentinal defects.

scholarly journals Influence of calcium hydroxide points on the quality of intracanal dressing filling

2006 ◽  
Vol 14 (3) ◽  
pp. 219-223 ◽  
Author(s):  
Nicole de Mello Rahde ◽  
José Antonio Poli Figueiredo ◽  
Elias Pandonor Motcy Oliveira
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal Filling ◽  
Human Teeth ◽  
Significance Level ◽  
Root Canals ◽  
Gutta Percha ◽  
Group 2 ◽  
Post Hoc

PURPOSE: The aim of this study was to evaluate, in vitro, the quality of calcium hydroxide [Ca(OH)2] paste filling (Ultracal, Ultradent) associated or not with Ca(OH)2-containing gutta-percha points (Calcium Hydroxide Plus PointsTM, Roeko) in curved root canals. MATERIAL AND METHODS: One hundred and twenty roots of extracted human teeth, randomly divided into three curvature ranges (mild - 0 to 14º; moderate - 15º to 29º; severe - >30º) were used. After chemomechanical preparation, the roots were assigned to 4 groups (n=30), according to the technique of intracanal dressing placement: group 1 - Ca(OH)2 paste was applied with a lentulo spiral; group 2 - Ca(OH)2 paste was applied with a lentulo spiral and a Ca(OH)2 point was inserted into the canal; group 3 - Ca(OH)2 paste was applied with a NavitipTM tip (supplied with Ultracal system); group 4 - Ca(OH)2 paste was applied with a NavitipTM tip and a Ca(OH)2 point was inserted into the canal. The roots were cleared and the quality of apical third filling was assessed by a calibrated experienced examiner. The specimens were examined under stereomicroscopy and scored 1 to 4 (i.e., from inadequate to complete root canal filling). The results were analyzed statistically by ANOVA and Duncan's post hoc test at 5% significance level. RESULTS: There were no statistically significant differences (p>0.05) among the curvature degrees in groups 1, 3 and 4. Severely curved roots in group 2 presented bordering significance (p=0.05). The groups that associated the use of Ca(OH)2 paste and points (2 and 4) showed better apical filling than the other groups, but this difference was statistically significant (p<0.001) only for roots with severe curvature. CONCLUSION: According to the results of this study, the curvature degree did not influence the quality of filling. The techniques that used Ca(OH)2-containing gutta-percha points yielded better filling of the apical third in roots with severe curvature.

scholarly journals Effectiveness of lateral and secondary canal filling with different endodontic sealers and obturation techniques

2017 ◽  
Vol 22 (2) ◽  
Author(s):  
Camila Krusser Teixeira ◽  
Sabrina Sasso Da Silva ◽  
Silvana Beltrami Gonçalves Waltrick ◽  
Renata Dornelles Morgental ◽  
Fabiana Vieira Vier-Pelisser ◽  
...  
Keyword(s):  
Root Apex ◽  
Hybrid Technique ◽  
Linear Measurements ◽  
Human Teeth ◽  
Significance Level ◽  
Root Canals ◽  
Significant Difference ◽  
Ah Plus ◽  
Imagej Software ◽  
Post Hoc

Objective: The aim of this study was to compare the performance of the new endodontic sealer GuttaFlow 2 with conventional sealers (AH Plus and EndoFill) in filling artificial lateral and secondary root canals, using two obturation techniques (cold lateral condensation and Tagger’s hybrid technique). Methods: Sixty single-rooted human teeth were selected and submitted to root canal preparation. Next, specimens were subjected to a tooth decalcification and clearing method. Artificial lateral and secondary canals were created at 2, 5, 9 and 12 mm from the root apex. The specimens were divided into 6 groups (n=10) according to the endodontic sealer (GuttaFlow 2, AH Plus or EndoFill) and the obturation technique (cold lateral condensation or Tagger’s hybrid technique). Filling of lateral and secondary canals was analyzed by stereomicroscopy. Images were obtained and transferred to the ImageJ software. Mean percentages of filling were calculated, considering total linear measurements of artificial canals and their filled portions. Data were compared by two-way ANOVA, followed by Bonferroni post-hoc test, at 5% significance level. Results: All materials showed the capacity of penetrating into artificial lateral and secondary canals. There was no significant difference (P>0.05) between sealers and obturation techniques. Only GuttaFlow 2 showed significant better flow into lateral canals compared to secondary canals (P

scholarly journals Radiographic and scanning electron microscopic assessment of root canal filling remnants after endodontic re-instrumentation

2017 ◽  
Vol 20 (1) ◽  
pp. 80 ◽  
Author(s):  
Luciane Geanini Pena Santos ◽  
Wilson Tadeu Felippe ◽  
Beatriz Dulcineia Mendes Souza ◽  
Andrea Cristina Konrath ◽  
Mabel Mariela Rodríguez Cordeiro ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Root Canal ◽  
Filling Material ◽  
Root Canal Filling ◽  
Root Canals ◽  
Filling Materials ◽  
Ah Plus ◽  
Endodontic Retreatment ◽  
Scanning Electron

<p><strong>Objective: </strong>Failures in endodontic treatment may occur by several reasons. Endodontic retreatment is an interesting alternative to manage this clinical problem. However, it is not possible to completely remove the root canal filling by any current retreatment technique. The aim of this study was to evaluate the presence of residual root canal filling materials after endodontic re-instrumentation. <strong>Material and Methods:</strong> Sixty extracted anterior human teeth were prepared by step-back technique with Flexofiles, K-files and Gates-Glidden (GG) burs. Between the use of each file or bur, root canals were irrigated with sodium hypochlorite (NaOCl). Smear layer was removed by irrigation with ethylenediaminetetraacetic acid and NaOCl. After drying with paper points the root canals were randomly divided into 5 groups (n = 12), according to filling material: Resilon cones/Real Seal sealer or gutta-percha cones and Endofill, Sealapex, AH Plus or MTA Fillapex sealers. After one week, root canal fillings were removed using Eucaliptol and K-files. Root canals were re-instrumented with K-files and GG burs sized larger than the first ones. The removal of root canal filling material was analyzed by radiography and scanning electron microscopy (SEM). Statistical analysis was performed using Binary Logistic Regression test (P &lt; 0.05). <strong>Results: </strong>Radiographic and SEM analysis showed that material from the<strong> </strong>MTA Fillapex group was better removed than that from Endofill, Sealapex, AH Plus and Real Seal groups. <strong>Conclusion: </strong>After re-instrumentation<strong>, </strong>MTA Fillapex group showed less remnants into the root canals than Endofill, Sealapex, AH Plus and Real Seal groups. Residual material was most often found in the apical third.</p><p><strong>Keywords </strong></p><p>Dental radiography; Endodontic retreatment; Root canal filling materials; Scanning electron microscopy.</p>

scholarly journals The Effect of Ultrasonic Agitation on the Porosity Distribution in Apically Perforated Root Canals Filled with Different Bioceramic Materials and Techniques: A Micro-CT Assessment

2021 ◽  
Vol 10 (21) ◽  
pp. 4977
Author(s):  
Saulius Drukteinis ◽  
Goda Bilvinaite ◽  
Hagay Shemesh ◽  
Paulius Tusas ◽  
Vytaute Peciuliene
Keyword(s):  
Root Canal ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Porosity Distribution ◽  
Significance Level ◽  
Ultrasonic Agitation ◽  
Root Canals ◽  
Gutta Percha ◽  
Before And After ◽  
Rotary Instrument

The present study evaluated the effect of ultrasonic agitation on the porosity distribution of BioRoot RCS/single gutta-percha cone (BR/SC) and MTA Flow (MF) root canals fillings used as apical plugs in moderately curved and apically perforated roots. Eighty mesial root canals of mandibular first molars were enlarged up to ProTaper NEXT X5 rotary instrument 2 mm beyond the apical foramen, simulating apical perforations. Specimens were randomly divided into four experimental groups (20 canals per group) according to the material and technique used for root canal obturation: BR/SC, BR/SC with ultrasonic agitation (BR/SC-UA), MF and MF with ultrasonic agitation (MF-UA). The ultrasonic tip was passively inserted into the root canal after the injection of flowable cement and activated for 10 s. The specimens were scanned before and after obturation with a high-resolution micro-computed tomography scanner, and the porosity of the apical plugs was assessed. The differences between groups were analyzed using the Kruskal-Wallis and Mann-Whitney tests, with the significance level set at 5%. None of the obturation materials and techniques used in this study was able to provide a pore-free root canal filling in the apical 5 mm. Considerably higher percentages of open and closed pores were observed in the MF and MF-UA groups, with the highest porosity being in the MF-UA group (p < 0.05). No significant differences were observed between the BR/SC and BR/SC-UA groups, where the quantity of open and closed pores remained similar (p > 0.05).

Root canal filling quality of mandibular molars with EndoSequence BC and AH Plus sealers: A micro‐ CT study

2019 ◽  
Vol 46 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Rafael Nigri Roizenblit ◽  
Fabiola Ormiga Soares ◽  
Ricardo Tadeu Lopes ◽  
Bernardo Camargo Santos ◽  
Heloisa Gusman
Keyword(s):  
Root Canal ◽  
Micro Ct ◽  
Root Canal Filling ◽  
Mandibular Molars ◽  
Ah Plus

scholarly journals The Tubular Penetration Depth and Adaption of Four Sealers: A Scanning Electron Microscopic Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Huan Chen ◽  
Xinyuan Zhao ◽  
Yu Qiu ◽  
Dengyou Xu ◽  
Li Cui ◽  
...  
Keyword(s):  
Penetration Depth ◽  
Root Canal ◽  
Electron Microscopic ◽  
Root Canal Filling ◽  
Adaptation Capacity ◽  
Root Canals ◽  
Filling Materials ◽  
Ah Plus ◽  
Maximum Penetration ◽  
Scanning Electron

Background. The tubular penetration and adaptation of the sealer are important factors for successful root canal filling. The aim of this study was to evaluate the tubular penetration depth of four different sealers in the coronal, middle, and apical third of root canals as well as the adaptation of these sealers to root canal walls. Materials and Methods. 50 single-rooted teeth were prepared in this study. Forty-eight of them were filled with different sealers (Cortisomol, iRoot SP, AH-Plus, and RealSeal SE) and respective core filling materials. Then the specimens were sectioned and scanning electron microscopy was employed to assess the tubular penetration and adaptation of the sealers. Results. Our results demonstrated that the maximum penetration was exhibited by RealSeal SE, followed by AH-Plus, iRoot SP, and Cortisomol. As regards the adaptation property to root canal walls, AH-Plus has best adaptation capacity followed by iRoot SP, RealSeal SE, and Cortisomol. Conclusion. The tubular penetration and adaptation vary with the different sealers investigated. RealSeal SE showed the most optimal tubular penetration, whereas AH-Plus presented the best adaptation to the root canal walls.

scholarly journals Bacterial leakage assessment in root canals sealed with AH Plus sealer modified with silver nanoparticles

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Farzaneh Afkhami ◽  
Shifteh Nasri ◽  
Sara Valizadeh
Keyword(s):  
Silver Nanoparticles ◽  
Root Canal ◽  
Study Groups ◽  
Root Canal Filling ◽  
Root Canals ◽  
Leakage Resistance ◽  
Significant Difference ◽  
Ah Plus ◽  
Bacterial Leakage ◽  
Negative Controls

Abstract Background Successful endodontic therapy requires prevention of bacterial leakage between the root canal filing and root-canal walls. Sealing quality of a root canal filling depends strongly on the sealing ability of the sealer used. The present study aimed to evaluate the bacterial leakage resistance of AH Plus sealer modified with silver nanoparticles. Methods Forty sound teeth were obturated using lateral compaction technique except for five teeth as the negative controls. After considering five teeth as the positive controls (filled without sealer), the remaining teeth were assigned to two groups (n = 15) in terms of the sealer used (AH Plus sealer and silver nanoparticle-modified AH Plus). Bacterial leakage was evaluated in saliva using the two-chamber technique in every 24 h. When all the samples in the test groups were contaminated, the study was terminated. The data were analyzed with log-rank statistical test. Results All samples in both experimental groups were contaminated during the 3-months period of observation. There was no significant difference in contamination time between study groups (P > 0.05). Conclusions Silver nanoparticles used in tested concentration did not improve the bacterial leakage resistance of AH Plus sealer.

Sign in / Sign up

Export Citation Format

Share Document