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

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.

2006 ◽  
Vol 20 (3) ◽  
pp. 231-234 ◽  
Author(s):  
Eliana Barbosa de Souza ◽  
Crystiane Venditti Gomes de Amorim ◽  
José Luiz Lage Marques

Apical sealing is essential for the success of paraendodontic surgery, so any procedure that may favor an adequate sealing of the apical remainder should be performed. The purpose of this study was to evaluate the influence of diode laser irradiation on the apical sealing of root-end cavities with MTA retrofillings. Root canals in twenty extracted human teeth were shaped with K-files and filled with gutta-percha. The apexes were cut off and root-end preparations were performed. The roots were divided randomly in 2 groups. Group 1 (ten specimens) was retrofilled with MTA. Group 2 was irradiated with diode laser, with 1 W for 20 seconds, on the apical surface and root end cavity before retrofilling with MTA. The specimens had their external surfaces impermeabilized with cyanoacrylate, except for the apical surface, and were then immersed in 1% rhodamine B dye for 72 h and placed in plaster stone. After that, the specimens were submitted to longitudinal abrasion until half of the root remained. The linear dye leakage was observed in these mid-roots between the root canal wall and retrofilling. The linear dye leakage was measured with Image Lab software, and the results were statistically analyzed with Student's t test. There were no statistically significant differences between the two groups (p > 0.05). The diode laser irradiation did not improve the apical sealing of MTA retrofillings under the conditions of this in vitro study.


2005 ◽  
Vol 13 (2) ◽  
pp. 176-179 ◽  
Author(s):  
Juliana Machado Barroso ◽  
Laise Daniela Carrasco ◽  
Alexandre Capelli ◽  
Danilo Mathias Zanello Guerisoli ◽  
Paulo César Saquy ◽  
...  

The aim of this study was to investigate, in vitro, the percentage of filling of simulated lateral canals in teeth obturated with TP medium and standardized gutta-percha points. Twenty human mandibular canines were prepared with LA Axxess (SybronEndo) and K³ Endo rotary system (SybronEndo) up to a #50 file, according to the Free Tip Preparation Technique. During instrumentation, the root canals were alternately irrigated with 1% sodium hypochlorite and 17% EDTA. Six artificial lateral canals were prepared at the apical third of each tooth. Then, the teeth were assigned to two groups (n=10): Group 1 - filled with TP medium master gutta-percha points (Dentsply, Mailleffer); Group 2 - filled with standardized master gutta-percha points (Dentsply, Mailleffer). Root canal filling was complemented with AH Plus sealer (Dentsply, Mailleffer) and accessory gutta-percha points (Dentsply, Mailleffer), according to the classic technique. The teeth were radiographed and the images obtained were digitized. Linear measurements of the percentage of filling of the artificial lateral canals in each group were accomplished on the Image Tool 2.02 software. Statistical analysis of the data using Mann-Whitney U non-parametric test evidenced significant difference (p<0.01) between the experimental groups. The group obturated with TP medium points yielded higher percentage of filling of the lateral canals. It may be concluded that the use of master gutta-percha points with larger taper resulted in better filling of the simulated lateral canals, as compared to the use of standardized master gutta-percha points.


2021 ◽  
Vol 10 (14) ◽  
pp. 1025-1029
Author(s):  
Aparna V. Muraleedhar ◽  
Sarvapelli Venkata Satish ◽  
Ashwini M. Patil ◽  
Suresh Kumar Kovvuru ◽  
Snehalatha Patil

BACKGROUND The primary goal of endodontic retreatment is to take out the root filling completely to ensure that the canal is completely cleaned. Gutta percha removal using hand instruments is a time-consuming procedure and tedious for the operator. Therefore, various nickel titanium instruments have been introduced for the effective retrieval of gutta percha. This study was done to compare the efficacy of three different rotary systems compared with manual instrumentation for gutta percha removal during retreatment. METHODS Forty-eight single rooted premolars were prepared and obturated using gutta percha and AH Plus sealer using lateral compaction technique. Samples were randomly divided into four groups of 12 specimens each. Group 1 was retreated with Hedstrom Files (H-Files), group 2 was retreated with pro taper universal retreatment files (PTUR), group 3 with R-Endo retreatment files and group 4 with Neoendo retreatment files. Time taken for the retreatment was recorded for each tooth using a stopwatch. The samples were sectioned longitudinally and observed under a stereomicroscope. Digital images were taken and analysed using digital image analysing software. The data was statistically analysed using Kruskal-Wallis and Post-hoc Mann-Whitney test. RESULTS The Neoendo group showed significantly lower amount of residual material compared to PTUR, R-Endo and the H-Files (P = 0.00). The maximum residual material was observed in the H file group. The time taken for gutta percha removal was least for the Neoendo group followed by PTUR, R-Endo and H-Files. CONCLUSIONS None of the instruments were able to remove the filling material completely. Gutta percha removal using Neoendo and protaper universal retreatment files were faster and more efficient compared to REndo and H files. KEY WORDS Endodontic Retreatment, Protaper Universal Retreatment Files, R-Endo, Neoendo, HFiles


2008 ◽  
Vol 19 (3) ◽  
pp. 224-227 ◽  
Author(s):  
João Vicente Baroni Barbizam ◽  
Martin Trope ◽  
Érica C.N. Teixeira ◽  
Mário Tanomaru-Filho ◽  
Fabrício B. Teixeira

The aim of this in vitro study was to evaluate the bond strength of Epiphany™ resin-based sealer to dentin walls after placement of calcium hydroxide [Ca(OH)2] dressings. Fifteen extracted single-rooted human teeth were instrumented using 2.5% NaOCl + EDTA as irrigants. The teeth were randomly assigned to 3 groups (n=5), according to the intracanal dressing: G1= Ca(OH)2 + saline; G2= Ca(OH)2 + 2% chlorhexidine gluconate (CHX) gel; and G3= saline (control). After 10 days of storage in 100% humidity at 37ºC, the dressings were removed and the root canals were filled with Epiphany™ sealer. After additional 48 h of storage, the specimens were sectioned transversally into 2-mm-thick discs. Push-out tests were performed (1 mm/min, Instron 4411) and the maximum loads at failure were recorded in MPa. One-way ANOVA and Newman-Keuls tests showed a statistically significant decrease in bond strength when a Ca(OH)2 dressing was used before root canal filling with Epiphany™ (G1= 10.18 ± 1.99 and G2= 9.98 ± 2.97) compared to the control group (13.82 ± 3.9) (p< 0.05). It may be concluded that the use of Ca(OH)2 as an intracanal dressing material affected the adhesion of Epiphany™ to the root canal walls, but even though the values were within the acceptable range found in the literature.


2018 ◽  
Vol 8 (2) ◽  
pp. 50-55
Author(s):  
Fatih Tulumbacı ◽  
Merve Erkmen Almaz ◽  
Volkan Arıkan ◽  
Merve Safa Mutluay

Aim: To evaluate the effect of calcium hydroxide (CH) and triple antibiotic paste (TAP), on the push-out bond strength of ProRoot MTA and Biodentine. Methodology: Root canals of 120 human teeth were instrumented using rotary files. To obtain a standard diameter of 1.5 mm,the roots were instrumented to a #6 Peeso reamer. The reamers were passed 1 mm beyond apex to simulate open apices. The roots were randomly assigned into following groups: Group 1: CH; Group 2: TAP; Group 3: no medicament (control). The medicaments were removed after 3 weeks. Thereafter, the specimens were divided into two subgroups according to the calcium silicate-based cement applied (n = 20): (i) ProRoot MTA (Dentsply Tulsa Dental, USA) and (ii) Biodentine (Septodont, France). Push-out test was performed, and the data were analysed statistically using one-way ANOVA and Tukey’s post hoc test. Results: In both MTA and Biodentine groups, pairwise comparisons between medicaments showed similar values to the control group (P > 0.05). Overall, there was a predominance of cohesive failures between root dentin and cements. Conclusion: Biodentine and ProRoot MTA showed similar bond strength values, and prior application of the TAP and CH did not affect the bond strength significantly.


2007 ◽  
Vol 18 (1) ◽  
pp. 20-23 ◽  
Author(s):  
João Vicente Baroni Barbizam ◽  
Matheus Souza ◽  
Doglas Cecchin ◽  
Jakob Dabbel

The purpose of this in vitro study was to evaluate the ability of a silicon-based root canal sealer, compared to zinc oxide and eugenol and an epoxy resin-based sealers, for filling of simulated lateral canals. Thirty extracted single-rooted human teeth were selected, conventional access was made and the working length was established 1 mm from the apical foramen. Three simulated lateral canals, one in each root third (coronal, middle and apical) were prepared in both the mesial and distal surfaces of each tooth using a size 15 reamer adapted to a low-speed handpiece. Each root canal was instrumented using ProTaper rotary files up to file F3 at the working length, and then irrigated with 2.5% NaOCl followed by EDTA. The teeth were assigned to 3 groups (n=10), according to the root canal sealer: Roeko Seal (Group 1), Sealer 26 (group 2) and Grossman's sealer (Group 3). Gutta-percha cold lateral condensation technique was performed in all groups. Postoperative radiographs were taken and the images were projected for evaluation of the quality of lateral canal filling. Data were submitted to statistical analysis by Kruskal Wallis test at 5% significance level. The results showed that Grossman's sealer filled a larger number of lateral canals than Roeko Seal (p<0.05) and Sealer 26 (p<0.01). It may be concluded that Roeko Seal silicone-based root canal sealer was not as effective as the Grossman's sealer for filling of simulated lateral canals. The lateral canals localized in the apical third of the root were more difficult to be filled.


2017 ◽  
Vol 22 (2) ◽  
Author(s):  
Camila Krusser Teixeira ◽  
Sabrina Sasso Da Silva ◽  
Silvana Beltrami Gonçalves Waltrick ◽  
Renata Dornelles Morgental ◽  
Fabiana Vieira Vier-Pelisser ◽  
...  

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


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 ◽  
...  

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.


2021 ◽  
Vol 10 (21) ◽  
pp. 4977
Author(s):  
Saulius Drukteinis ◽  
Goda Bilvinaite ◽  
Hagay Shemesh ◽  
Paulius Tusas ◽  
Vytaute Peciuliene

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).


2006 ◽  
Vol 14 (3) ◽  
pp. 172-177 ◽  
Author(s):  
Janir Alves Soares ◽  
Mário Roberto Leonardo ◽  
Léa Assed Bezerra da Silva ◽  
Mário Tanomaru Filho ◽  
Izabel Yoko Ito

The aim of this study was to evaluate the antiseptic efficacy of rotary instrumentation associated with calcium hydroxide-based pastes prepared with different vehicles and antiseptics. Chronic periapical lesions were experimentally induced in 72 premolar root canals of four dogs. Under controlled asepsis, after initial microbiological sampling (A1), the root canals were instrumented using the ProFile system in conjunction with 5.25% sodium hypochlorite and the intracanal medication was placed. Four experimental groups were formed according to the pastes used: group 1- Calen (n=18), group 2- Calen+CPMC (n=20), group 3- Ca(OH)2 p.a.+ anaesthetic solution (n=16) and group 4- Ca(OH)2 p.a.+ 2% chlorhexidine digluconate (n=18). After 21 days, the pastes were removed; the canals were emptied and 96 hours later a second microbiological sample was obtained (A2). The incidence of positive microbiological cultures and the number of cfus in stages A1 and A2 were compared statistically by the Wilcoxon test while the influence of the different treatments in intracanal infection was evaluated by Kruskal-Wallis test at 5% significance level (p<0.05). Large numbers of strict and facultative anaerobes, and viridans group streptococci were found in 100% of root canals of A1 samples. Among A2 samples, all treatments showed significant reduction of cfus and positive cultures (p<0.05), but only groups 3 and 4 showed 100% of root canals free of microorganisms. Rotary instrumentation plus NaOCl 5.25% associated with intracanal medication produced a drastic reduction or elimination of intracanal microbiota, whose performance was not influenced by the nature of the vehicle or the antiseptic added to the Ca(OH)2 p.a.


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