scholarly journals Fracture resistance of roots enlarged with various rotary systems and filled with various sealers

2019 ◽  
Vol 13 (3) ◽  
pp. 215-220
Author(s):  
Selen İnce Yusufoglu ◽  
Melek Akman ◽  
Makbule Bilge Akbulut ◽  
Ayce Ünverdi Eldeniz
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
In Vitro Study ◽  
Universal System ◽  
Gutta Percha ◽  
Significant Difference ◽  
Ah Plus ◽  
Group 2 ◽  
Group 1

Background. This in vitro study compared the fracture resistance of roots instrumented either with ProTaper or One Shape rotary systems and filled with one of the silicate, epoxy resin or silicone-based sealers. Methods. Sixty single-rooted extracted mandibular premolars were decoronated to a length of 13 mm and then randomly divided into two main groups (n=30) in terms of the rotary system used for preparation. Group 1 samples were instrumented with the ProTaper Universal system up to a master apical file of #F2, while samples in group 2 were enlarged with One Shape system. The two main groups were then divided into 3 subgroups in terms of the sealer used (n=10) and filled with gutta-percha (either F2 or MM-GP points) of the rotary system used and one of the sealers as follows: group 1, BioRoot RCS + ProTaper F2 gutta-percha; group 2, AH Plus + ProTaper F2 gutta-percha; group 3, GuttaFlow + ProTaper F2 gutta-percha; group 4, BioRoot RCS+ MM-GP points; group 5, AH Plus + MM-GP points; and group 6, GuttaFlow + MM-GP points. Each specimen then underwent fracture testing by using a universal testing machine at a crosshead speed of 1.0 mm/min until the root fractured. Data were statistically analyzed. Results. Two-way ANOVA showed no significant differences between the groups. One Shape instruments showed significantly better fracture resistance compared to ProTaper instruments. Statistically, no significant difference was found between AHPlus, GuttaFlow and BioRoot RCS sealers. Conclusion. It can be concluded that the rotary system used for the instrumentation of teeth has some influence on the fracture resistance, while the root canal sealers do not have such an effect.

scholarly journals Effect of Reinforcement on the Fracture Resistance of Endodontically Treated Molars by Various Bonded Restorations-An In Vitro Study

2015 ◽  
Vol 03 (02) ◽  
pp. 103-111
Author(s):  
Jaidev Dhillon ◽  
Sachin Passi ◽  
Ajay Chhabra ◽  
◽  
Keyword(s):  
Fracture Resistance ◽  
Resin Composite ◽  
Testing Machine ◽  
In Vitro Study ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Abstract Objective: To compare and evaluate the fracture resistance of endodontically treated molars reinforced with various bonded restorations and to study the type of fractures in various restorations. Methods: Forty extracted mandibular molars were endodontically treated. MOD (Mesio-Occluso-Distal) cavities were prepared and Mesio-Buccal cusp was reduced in all to provide cuspal coverage. All the teeth were then divided into 4 groups. The cavities in group 1(control) were filled with high copper amalgam. Group 2 was restored with direct resin composite. In group 3 after the priming and bonding procedures as in group 2, cavity surfaces were coated with flowable resin composite. Before curing a piece of polyethylene ribbon fiber was cut and coated with adhesive resin and was embedded inside the flowable composite. The resin composite was cured with visible light cure (VLC) gun. For group 4, restorations were done according to the recommendations provided by the manufacturers of SR Adoro (Ivoclar-Vivadent, Schaan, Liechtenstein) composite material. Compressive fracture strength test was performed after at least 24 hours of the fabrication of the specimens, by application of compressive loading in a Universal testing machine, applied on the occlusal aspect of each specimen with a steel bar. The mean loads necessary to fracture were recorded in Newton and the results were statistically analyzed. Results: Group 4 (indirect composite inlay) had the greater fracture resistance and group 1(Amalgam) had the poorest. Difference between group 1 and 3, group 1 and 4, group 2 and 4 were statistically significant. No statistically significant difference was found between group 1 and 2, group 2 and 3, group 3 and 4. Predominant type of fracture in group 1 and 3 was fracture of tooth below cemento enamel junction at tooth restoration interface without mesio buccal cusp involvement. In group 2 and 4, predominant fractures were of tooth below cemento enamel junction through center of restoration without mesio–buccal cusp involvement.

scholarly journals Effect of MTA versus CEM apical plugs on fracture resistance of endodontically treated simulated immature teeth restored with cast metal posts: an in-vitro study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ensieh Grayli ◽  
Abbas Dashtban ◽  
Leyla Shadan ◽  
Naser Behnampour ◽  
Elham Afshari
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
In Vitro Study ◽  
Control Group ◽  
Significance Level ◽  
Cast Metal ◽  
Immature Teeth ◽  
Gutta Percha ◽  
Significant Difference

Abstract Background Endodontically treated immature teeth which are restored with cast metal posts are of the most susceptible teeth to fracture. An apical plug is usually used as root end filling in order to seal the wide apical foramen. The current study was performed to evaluate the effect of different apical plug materials (MTA and Calcium enriched mixture cement) at varied thicknesses on fracture resistance of teeth restored with cast metal posts. Methods A total of 40 extracted intact single-rooted human mandibular premolars (removed for orthodontic reasons) were used in the study. The coronal part of each tooth was removed and root canal preparation was performed. A size 4 Gates Glidden drill was used to enlarge the canal and was passed through the apical foramen in order to simulate an immature apex. Samples were randomly divided into 5 groups (n = 8) according to apical plug (control group: No plug, group MTA5: 5 mm MTA plug, group CEM5: 5 mm CEM plug, group MTA3: 3 mm MTA plug, group CEM3: 3 mm CEM plug). Post-space preparations were performed and cast metal post-and-cores were fabricated and cemented. Fracture resistance was assessed using a universal testing machine. Fracture thresholds were recorded and data were analyzed using One-way ANOVA and Dunnett’s T3 tests with significance level at P value < 0.05. Results The analysis showed a significant difference of fracture resistance between groups (P value < 0.05). The mean fracture resistance of samples in control group was significantly lower than MTA5 (P value = 0.003). There was no significant difference between other groups (P value > 0.05). Conclusions Within the limits of this study, the evidence indicated that placement of a 5 mm MTA apical plug increased the fracture resistance in simulated immature teeth which are restored with cast metal posts, compared to control group (gutta-percha and sealer). While the results were not as promising for a 3 mm MTA apical plug or either 3 or 5 mm CEM apical plug.

scholarly journals The Effects of Water and Acetone-based Dentin Adhesives on Apical Microleakage

2004 ◽  
Vol 5 (2) ◽  
pp. 93-101 ◽  
Author(s):  
Oya Bala ◽  
L. Sibel Karadag ◽  
Emin Türköz ◽  
Tansev Mihçioğlu
Keyword(s):  
Adhesive System ◽  
Root Canals ◽  
Gutta Percha ◽  
Dentin Adhesives ◽  
Significant Difference ◽  
Ah Plus ◽  
Group 2 ◽  
Materials Used ◽  
Group 1

Abstract In this study, the aim was to assess the in vitro apical microleakage of a resin-based sealer used with two different adhesives. Thirty nine freshly extracted maxillary incisors were used. The teeth were decoronated at the cemento-enamel junction with a water-cooled fissure bur. Chemo-mechanical debridement of the root canals was accomplished with the step-back technique. The smear layer was removed by 19% ethylenediamine tetra acetic acid (EDTA). The roots were then divided into three experimental groups of thirteen teeth in each. Specimens in group 1 were filled with gutta-percha, AH Plus sealer, and water-based adhesive system (Syntac Single Component). Group 2 specimens were filled with gutta-percha, AH Plus sealer, and acetone-based dentin adhesive (Prime & Bond NT). Specimens of group 3 were filled with only gutta-percha and AH Plus sealer (no adhesive was applied). The teeth were immersed into 2% methylene blue solution. Apical sealing qualities were assessed by measuring the linear dye penetration with a stereomicroscope. Dentin tubule penetration was observed under scanning electron microscopy (SEM). Results showed no statistically significant difference between the materials used, however, the leakage in group 2 was less than group 1 and 3. Citation Karadag LS, Bala O, Türköz E, Mihçioğlu T. The Effects of Water and Acetone-based Dentin Adhesives on Apical Microleakage. J Contemp Dent Pract 2004 May;(5)2:093-101.

scholarly journals The Influence of Different Obturation Systems on the Fracture Resistance of Endodontically Treated Roots. An in Vitro Study

2017 ◽  
Vol 20 (1) ◽  
pp. 6
Author(s):  
Mazen Doumani ◽  
Saleem Abdulrab ◽  
Abdulaziz Samran ◽  
Ahmed Doumani ◽  
Kinda Layous ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Compressive Force ◽  
In Vitro Study ◽  
Study Groups ◽  
Control Group ◽  
Endodontically Treated Teeth ◽  
Gutta Percha ◽  
Group 2

<p><strong>Objective: </strong>This study aimed to compare the fracture resistance of endodontically treated roots filled by different obturation systems. <strong>Material and methods: </strong>Ninety-six upper central incisors were used and decoronated, retaining 12 mm of the roots. On the basis of obturation systems, the roots were divided into 4 groups (n=24): Group1 (COGR): control group (unprepared, unfilled), Group 2 (AVGR): ActiV GP points/ActiV GP sealer, Group3 (GPGR): Gutta percha points/AH plus sealer, and Group4 (GAGR): Gutta percha points/ActiV GP sealer. The last three groups were obturated with the single cone technique. The roots were then stored in 100% relative humidity at 37 °C for 2 weeks. A vertical compressive force was exerted with a universal testing machine until a fracture occurred. Data were statistically analyzed with one-way ANOVA. <strong>Results</strong><strong>:</strong> Mean (SD) failure loads for groups ranged from 920.51 ± 210.37 to 1113.44 ± 489.42 N. The fracture resistance between the different study groups indicated no statistical difference. <strong>Conclusions:</strong> ActiV GP system did not exert a significant effect on the fracture resistance of endodontically treated teeth.</p>

scholarly journals Effect of Previous Calcium Hydroxide Dressing on the Sealing Properties of the New Endodontic Cement Apical Barrier

2011 ◽  
Vol 05 (03) ◽  
pp. 260-264 ◽  
Author(s):  
Maryam Bidar ◽  
Reza Disfani ◽  
Salman Gharagozlo ◽  
Armita Rouhani ◽  
Maryam Forghani
Keyword(s):  
Calcium Hydroxide ◽  
In Vitro Study ◽  
Fluid Filtration ◽  
Filtration Method ◽  
Gutta Percha ◽  
Time Period ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

ABSTRACTObjectives: Using the fluid filtration method, an in vitro study was conducted to evaluate the effects of medication with calcium hydroxide on the sealing ability of the New Endodontic Cement (NEC) apical barrier in the short and long terms. Methods: Fifty extracted single rooted teeth were prepared and apical resorption produced using acid sulfuric for four days. The teeth were randomly divided into two experimental groups (n=20) and two control groups. In group 1, calcium hydroxide was placed into all canals for one week and in group 2, no medication was used. In both groups, a 4 mm NEC apical plug was placed in the canals and the remaining portion of the canals was filled with gutta-percha. The amount of microleakage of all samples was evaluated after one week and three months. The data were statistically analyzed using two-way ANOVA. Results: There was no significant difference between the two groups in either time period (P>.05). In both group 1 and group 2, microleakage increased after three months but this increase was not statistically significant (P>.05). Conclusions: According to the result of this study, medication with calcium hydroxide had no adverse effect on the short- and long-term sealing properties of an NEC apical plug. (Eur J Dent 2011;5:260-264)

scholarly journals Fracture resistance of cementum-extended composite fillings in severely damaged deciduous incisors: An in vitro study

2014 ◽  
Vol 08 (04) ◽  
pp. 445-449
Author(s):  
Bahman Seraj ◽  
Sara Ehsani ◽  
Shirin Taravati ◽  
Sara Ghadimi ◽  
Mostafa Fatemi ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
In Vitro Study ◽  
Analysis Data ◽  
Vitro Study ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2

ABSTRACT Objective: The aim of this study was to comparatively assess the fracture resistance of the cementum-extended and conventional composite fillings with or without intracanal composite posts in severely damaged deciduous incisors. Materials and Methods: This in vitro study was performed on 60 extracted deciduous maxillary incisors that were randomly divided into four groups: Group 1: Composite filling (CF); Group 2: Composite filling with composite posts (CF + CP); Group 3: Composite filling extended 0.5 mm to cementum (ceCF); Group 4: Composite filling extended 0.5 mm to cementum with composite posts (ceCF + CP). The fracture resistance was assessed by exerting a progressively increasing load with a cross-head speed of 0.5 mm/min in a Universal Testing Machine. Statistical Analysis: Data were analyzed by SPSS-18 using one-way analysis of variance at ⍱ < 0.05. Results: The mean fracture resistance (MFR) values of the experimental groups were 410.57 ± 139.44 N, 564.44 ± 92.63 N, 507.5 ± 76.37 N and 601.08 ± 96.04 N. A significant difference was found between the MFR of Groups 1 and 2, Groups 1 and 4 and Groups 3 and 4 (P < 0.05). Conclusion: A superior outcome was achieved by intracanal composite posts in both conventional and cementum-extended composite fillings.

scholarly journals MTA versus CEM root-end fillings effect on fracture resistance of endodontically treated simulated immature teeth restored with cast metal posts: an in-vitro study

2021 ◽  
Author(s):  
Ensieh Grayli ◽  
Abbas Dashtban ◽  
Leyla Shadan ◽  
Naser Behnampour ◽  
Elham Afshari
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Control Group ◽  
P Value ◽  
Cast Metal ◽  
Immature Teeth ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Abstract Background: Endodontically treated immature teeth which are restored with cast metal posts are of the most susceptible teeth to fracture. An apical plug is usually used as root end filling in order to seal the wide apical foramen. The current study was performed to evaluate the effect of different root-end filling materials (MTA and CEM) on fracture resistance of teeth restored with cast metal posts.Methods: A total of 40 extracted intact single-rooted human mandibular premolars (removed for orthodontic reasons) were used in the study. The coronal part of each tooth was removed and root canal preparation was performed. A size 4 Gates Glidden drill was used to enlarge the canal and was passed through the apical foramen in order to simulate an immature apex. Samples were randomly divided into 5 groups according to apical plug (Group 1: No plug, Group 2: 5 mm MTA plug, Group 3: 5 mm CEM plug, Group 4: 2 mm MTA plug, Group 5: 2 mm CEM plug). Post-space preparations were performed and cast metal post-and-cores were fabricated and cemented. Fracture resistance was assessed using a universal testing machine. Fracture thresholds were recorded and data were analyzed using SPSS 16.0 with significance level at P value < 0.05. Results The analysis showed a significant difference of fracture resistance between groups (p-value<0.05). The mean fracture resistance of samples in group 1 was significantly lower than group 2 (p-value=0.003). there was no significant difference between other groups (p-value>0.05).Conclusions: Within the limits of this study, the evidence indicated that placement of a 5 mm MTA apical plug increased the fracture resistance in simulated immature teeth which are restored with cast metal posts, compared to control group (gutta-percha and sealer). While the results were not as promising for a 2 mm MTA apical plug or either 2 or 5 mm CEM apical plug.

scholarly journals AN INVITRO COMPARATIVE EVALUATION OF FRACTURE RESISTANCE OF ENDODONTICALLY TREATED TEETH OBTURATED WITH RESILON AND GUTTA-PERCHA

2014 ◽  
Vol 04 (03) ◽  
pp. 075-079
Author(s):  
Kiran Halkai ◽  
Rahul Halkai ◽  
Mithra N. Hegde ◽  
Vijay Kumar ◽  
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Control Group ◽  
Endodontically Treated Teeth ◽  
Group 4 ◽  
Anterior Teeth ◽  
Ah Plus ◽  
Group 3 ◽  
Group 2

Abstract Aim: To compare and evaluate in-vitro the fracture resistance of endodontically treated teeth obturated with resilon & epiphany sealer and guttapercha using different sealers. Epoxy resin based sealer AH-plus and zinc oxide eugenol based sealer-TubliSeal (EWT). Methodology: sixty four human single rooted maxillary anterior teeth, cleaned stored in 0.9% saline. All the teeth were decoronated to root length 14mm and bucco-lingual diameter of 5-7mm, After access openings teeth were instrumented using K3.06 up to final apical size 30/.06 and randomly allocated into 4 experimental groups (n=16 per group). Group 1(Control group): teeth were instrumented but not obturated, Group 2: Resilon cones and epiphany SE-sealer. Group 3: guttapercha cones and epoxy based sealer AH plus. Group 4: guttapercha and Tubli seal EWT. Coronal seal was done using IRM cement. Each of the specimens were tested for fracture resistance by instron universal testing machine. Results: Higher fracture resistance values were observed for group 2 (Resilon & Epiphany SE sealer) followed by group 3(Guttapercha & AH Plus sealer) and group 4(Guttapercha & TubliSeal EWT) when compared to group1 (control-instrumented but not obturated). Conclusion: filling the root canals with contemporary polymer based root canal obturating system- Resilon increased the in vitro fracture resistance of endodontically treated teeth.

A Comparative in vitro Study of the Load at Fracture of All-ceramic Crowns with Various Thicknesses of In-Ceram Core

2008 ◽  
Vol 9 (4) ◽  
pp. 17-25 ◽  
Author(s):  
Ilser Turkyilmaz ◽  
Suat Gokce ◽  
Emine Celik-Bagci
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
In Vitro Study ◽  
Chromium Alloy ◽  
Dental Practitioners ◽  
Significant Difference ◽  
All Ceramic ◽  
Feasible Option ◽  
Ceramic Crowns

Abstract Aim The aim of this study was to investigate the influence of three different thicknesses of In-Ceram core on the load at fracture of all-ceramic crowns. Methods and Materials Thirty standardized crown-shaped nickel-chromium alloy dies were fabricated using a milling machine. Twenty dies were prepared with a 1 mm shoulder for Groups A and B. The only difference in the ten dies used for Group C was a smaller 0.5 mm lingual shoulder. The thicknesses of In-Ceram were 0.5 mm, 1.5 mm, and 0.75 mm for Groups A, B, and C. All all-ceramic crowns were fabricated in accordance with the manufacturer's instructions. After cementation of the crowns, their fracture resistance was tested with a universal testing machine. The load was directed to a point located 3 mm from the lingual aspect of the incisal edge at 30 degrees to the long axis of each specimen until catastrophic failure occurred. Results The mean loads at fracture for Groups A, B, and C were 1117±388 N, 2083±385 N, and 1439±368 N, respectively. No statistically significant difference in load at fracture between Groups A and C was found (p>0.05). However, the differences were statistically significant between Groups A and B (p<0.001) and Groups B and C (p<0.001). Conclusion Under the guidelines of this study, increasing the thickness of the In-Ceram core increased the fracture resistance of the all-ceramic crowns. Clinical Significance The sufficient thickness of the In-Ceram core of all-ceramic crowns is an important factor in fracture resistance. Therefore, dental practitioners should be careful in patient selection; if the horizontal overlap of a tooth to be restored is too limited, then all-ceramic crowns may not be a feasible option. Citation Gokce S, Celik-Bagci E, Turkyilmaz I. A Comparative in vitro Study of the Load at Fracture of Allceramic Crowns with Various Thicknesses of In-Ceram Core. J Contemp Dent Pract 2008 May; (9)4:017-025.

scholarly journals Efficacy of ProTaper Retreatment System in Root Canals Obturated with Gutta-Percha Using Two Different Sealers and GuttaFlow

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Jaya Siotia ◽  
Shashi Rashmi Acharya ◽  
Sunil Kumar Gupta
Keyword(s):  
Area Ratio ◽  
Variance Test ◽  
Root Canals ◽  
Gutta Percha ◽  
Significant Difference ◽  
Ah Plus ◽  
Group 3 ◽  
Group 2 ◽  
Silicon Based ◽  
Group 1

Objective. To compare the efficacy of ProTaper retreatment files in removing three different obturating materials.Study Design. Forty-five human, single-rooted premolars were divided into three experimental groups. Group 1 was obturated with gutta-percha and AH Plus sealer, Group 2 was obturated with gutta-percha and zinc oxide eugenol sealer, and Group 3 was obturated with GuttaFlow. Retreatment was done using the ProTaper universal rotary retreatment files. Root halves were visualized using magnifying loops at 3X magnification and optical stereomicroscope at 10X magnification. Images were analyzed using AutoCAD 2004 software to calculate area of the remaining debris in the canal. For statistical analysis were used variance test and ANOVA.Results. Total debris/canal area ratio between the three groups showed a statistically significant difference (P<0.001).Conclusion. ProTaper retreatment system did not produce completely clean canals in any of the groups. However, it had the best efficacy towards removing silicon based obturating material GuttaFlow.

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