Fracture Resistance of Teeth Obturated with RealSeal™ Using Two Different Chelating Agents: An in vitro Study

2010 ◽  
Vol 11 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Ahmed M. Al-Kahtani ◽  
Hussam Al-Fawaz ◽  
Mohammed Al-Sarhan ◽  
Khalil Al-Ali
Keyword(s):  
Fracture Resistance ◽  
Chelating Agents ◽  
Control Group ◽  
Filling Material ◽  
High Fracture ◽  
Human Teeth ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Abstract Objectives The aim of this study was to evaluate the fracture resistance of endodontically treated teeth filled with a resin-based obturation material using two different chelating agents. Methods and Materials Forty extracted singlecanal human teeth were prepared, instrumented, and randomly divided into three groups: Group 1 (n=15) received a final flush with 10 ml of neutralized 17% EDTA, followed by 10 ml of sodium hypochlorite (NaOCl), then obturated using lateral condensation with RealSeal. Group 2 (n=15) received a final flush of BioPure™ MTAD™, followed by 10 ml of NaOCl, then obturated using lateral condensation with RealSeal. Group 3, the control group (n=10), was instrumented but not obturated, then the root canal opening was sealed with a temporary filling material. The specimens were stored in 100% humidity for 10 days, mounted in polyester resin, and loaded to failure. Results The ANOVA revealed a significant difference between the control group and the experimental groups, although there was no statistically significant difference between Group 1 and Group 2 (p=0.05). The MTAD group displayed higher mean fracture load values than the EDTA group. Conclusions It can be concluded that filling the root canals with RealSeal™ increased the in vitro resistance to fracture of single-canal extracted human teeth when compared to instrumented and unobturated teeth. Teeth treated with MTAD demonstrated high fracture-resistance values when compared to teeth treated with 17% EDTA, but they were not statistically significant. Citation Al-Kahtani AM, Al-Fawaz H, Al-Sarhan

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 Effect of Different Finishing and Polishing Methods for Color Stability of the E-Max Dental Ceramics: In vitro Study

2021 ◽  
Vol 14 (4) ◽  
pp. 1508-1513
Author(s):  
Ibraheem F Alshiddi
Keyword(s):  
Surface Brightness ◽  
Color Stability ◽  
Color Measurement ◽  
Control Group ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

In order to assess the influence of finishing and polishing on the surface brightness and color stability of the ceramic veneer, fifty specimens were fabricated with 10 mm diameter and 2 mm thickness using IPS E-Max Ceramic. After glazing, 10 specimens were untouched as control group, and the other 40 specimens were abraded using 125µm diamond bur to create surface roughness. Forty specimens were divided into four groups (n=10), in group 1: specimens were finished using diamond point, in group 2 specimens’ surface was polished with a polishing kit, Group 3: Each specimen surface was polished with the polishing kit as in protocol 2 and was polished a polishing past and group 4 Each specimen was glazed by heating at 621℃ for 3 minutes followed by a temperature increase of 83℃/min up to 918℃ for 30 seconds. Color measurement was performed using spectrophotometer. Color stability data were analyzed using two-way ANOVA and Tukey’s HSD test (α=0.05). For Ra values, paired-samples t-tests were used to analyze the data and compare groups. The change in L and E showed a significant difference among the study groups; (group 1, group 2, group 3 and group 4) with respect to three variables L, a and b. A significant difference was noted when compared each group with the control; however, only group 2 showed a significant difference from group 4; the remaining groups demonstrated similar findings for all three variables. The study displayed a significant impact of the finishing and polishing technique on the surface brightness and color stability of ceramic restoration. However, it was evident that combination of two or three polishing techniques which includes polish kit and glaze enhances the surface finish and adds color stability by alternating the yellow – blue axis (increase in b) and red- green axis (decrease in a).

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.

In Vitro Comparison of MTA and BC RRM-Fast Set Putty as Retrograde Filling Materials

2021 ◽  
Author(s):  
Carla Arvelaiz ◽  
Andreina Fernandes ◽  
Veronica Graterol ◽  
Katiuska Gomez ◽  
Jose Francisco Gomez-Sosa ◽  
...  
Keyword(s):  
Brain Heart Infusion ◽  
Bacterial Count ◽  
Positive Control ◽  
Negative Control ◽  
Control Group ◽  
Filling Material ◽  
Human Teeth ◽  
Retrograde Filling ◽  
Significant Difference

Abstract Background: To compare, in vitro, the bioceramic materials (MTA and BC RRM-fast set putty) capacity to prevent microleakage of Enterococcus faecalis over time. Methods: An experimental design was made with forty extracted human teeth, coronally cut, and prepared to be placed in a leakage system under sterile conditions. They were randomly divided into an experimental group: thirty teeth (fifteen for retrograde filling material MTA and BC RRM-fast set putty, respectively) and a control group: ten teeth (five positive control, five negative control). The 3 mm root-ends were submerged in a brain-heart infusion broth with a red phenol indicator. The coronal access of each sample was inoculated with E. faecalis every seven days to maintain bacterial viability. The lower chamber was evaluated daily for 30 days to observe the turbidity of the culture medium and establish the presence and day of the filtration. Calculation of the colony-forming units (CFU) was performed for each leaked sample. Results: Of the total samples prepared for each type of bioceramic material, leaked 60.0% (9/15) of the MTA group and 40.0% (6/15) of the BC RRM-fast set putty group. All positive controls filtered on the first day of evaluation, while 20% (1/5) of the negative control leaked in the second week. There was no significant difference in leakage between the bioceramic material types, nor concerning the bacterial count and the type of cement used (p = 0.101). Conclusions: This study suggests that BC RRM-fast set putty and MTA have a similar sealing capacity when used as a retrograde filling material in vitro.

scholarly journals EFFICACY OF MAXWIRE® ALLOY FILE IN REMOVING THE REMAINS OF ROOT CANAL FILLING MATERIAL IN VITRO

2018 ◽  
Vol 28 (2) ◽  
pp. 46-51
Author(s):  
Martin Hashemi ◽  
Miglė Mackevičiūtė
Keyword(s):  
Root Canal ◽  
Statistical Significance ◽  
Filling Material ◽  
Root Canal Filling ◽  
X Ray ◽  
Significant Difference ◽  
Group 2 ◽  
Endodontic Retreatment ◽  
Group 1

Today it is more and more preferred to preserve teeth with promising prognosis rather than to extract them. The efficiency and the precision of retreatment files to remove filling material are important factors of successful treatment. The aim of this study was to evaluate the efficiency of MaxWire® alloy file in removing root canal filling material after retreatment with endodontic retreatment instruments. Distal roots of twenty human mandibular molars with single and straight canals were selected for this study. All canals were instrumented up to #40/.04 with Bio-race system and apical preparation was finished with Kfile #50/.02. Obturation was performed using lateral condensation technique with ADSEAL sealer. Radiographs were performed in buccolingual and mesiodistal directions with periapical X-ray after obuturation. Teeth were randomly divided into two groups with ten teeth in each. Group 1: removal of root canal filling material was performed using D-race system. Group 2: removal of root canal filling material was performed using D-race system following XP endo Finisher R instrument. Radiographs were performed after retreatment. Residual material was calculated in percentage left in canals. Statistical significance between the two groups were analyzed with t-test. Remnants of root canal filling material was observed in both groups: 38.90% in Group 1 and 13.71% in Group 2, respectively. There was a significant difference between the groups in term of the total root canal filling material (p&amp;lt;0.05). MaxWire® alloy file significantly increased the amount of removed root canal filling material after retreatment with endodontic retreatment instruments.

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 A Flexible Multidose GnRH Antagonist versus a Microdose Flare-Up GnRH Agonist Combined with a Flexible Multidose GnRH Antagonist Protocol in Poor Responders to IVF

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Gayem İnayet Turgay Çelik ◽  
Havva Kömür Sütçü ◽  
Yaşam Kemal Akpak ◽  
Münire Erman Akar
Keyword(s):  
Gnrh Agonist ◽  
Gnrh Antagonist ◽  
Poor Responders ◽  
Vitro Fertilization ◽  
Significant Difference ◽  
Gnrh Antagonist Protocol ◽  
Group 2 ◽  
Antagonist Protocol ◽  
Group 1

Objective. To compare the effectiveness of a flexible multidose gonadotropin-releasing hormone (GnRH) antagonist against the effectiveness of a microdose flare-up GnRH agonist combined with a flexible multidose GnRH antagonist protocol in poor responders to in vitro fertilization (IVF).Study Design. A retrospective study in Akdeniz University, Faculty of Medicine, Department of Obstetrics and Gynecology, IVF Center, for 131 poor responders in the intracytoplasmic sperm injection-embryo transfer (ICSI-ET) program between January 2006 and November 2012. The groups were compared to the patients’ characteristics, controlled ovarian stimulation (COH) results, and laboratory results.Results. Combination protocol was applied to 46 patients (group 1), and a single protocol was applied to 85 patients (group 2). In group 1, the duration of the treatment was longer and the dose of FSH was higher. The cycle cancellation rate was significantly higher in group 2 (26.1% versus 38.8%). A significant difference was not observed with respect to the number and quality of oocytes and embryos or to the number of embryos transferred. There were no statistically significant differences in the hCG positivity (9.5% versus 9.4%) or the clinical pregnancy rates (7.1% versus 10.6%).Conclusion. The combination protocol does not provide additional efficacy.

scholarly journals Comparative Evaluation of Fracture Resistance of Endodontically Treated Teeth Restored with Resin Fiber Post and Stainless Steel Post: An In Vitro Study

2015 ◽  
Vol 03 (02) ◽  
pp. 080-084
Author(s):  
Vijay Singh ◽  
Poonam Bogra ◽  
Saurabh Gupta ◽  
Navneet Kukreja ◽  
Neha Gupta
Keyword(s):  
Stainless Steel ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Compressive Force ◽  
Control Group ◽  
Fiber Post ◽  
Endodontically Treated Teeth ◽  
Group I ◽  
Significant Difference

AbstractFracture resistance of endodontically treated teeth restored with post. Aims: This study aims to compare the fracture resistance of endodontically treated teeth restored with resin fiber and stainless steel post. Commercially available prefabricated resin fiber post(Dentsply Maillefer Easy Post), prefabricated stainless steel post(Coltene/Whaledent Parapost) were used. Methods and Material: Forty five maxillary central incisors were obturated and divided into 3 groups: Control Group (Group I) without any post (n = 15), Resin Fiber Post Group (Group II) (n = 15) and Stainless Steel Post Group (Group III) (n = 15). In all Groups except control group, post space was prepared; a post was cemented, and a core build-up was provided. All the specimens were subjected to compressive force under a universal testing machine until fracture. Statistical analysis used: The results were analyzed using the variable analysis test (ANOVA). Results: One-way analysis of variance revealed significant difference among test groups. The control group demonstrated highest fracture resistance (925.2183 N), followed by the resin fiber post group (486.7265 N) and stainless steel post group (423.539N). Conclusions: Teeth restored with resin fiber post showed higher fracture resistance values than prefabricated stainless steel post.

scholarly journals Objective assessment of stiffness in Achilles tendinopathy: a novel approach using the MyotonPRO

2018 ◽  
Vol 4 (1) ◽  
pp. e000446 ◽  
Author(s):  
Gafin Ericson Morgan ◽  
Rhodri Martin ◽  
Lisa Williams ◽  
Owen Pearce ◽  
Keith Morris
Keyword(s):  
Dynamic Stiffness ◽  
Objective Assessment ◽  
Weight Bearing ◽  
Achilles Tendinopathy ◽  
Control Group ◽  
Asymptomatic Group ◽  
Musculotendinous Junction ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

ObjectivesThe aim of this study was to establish quantitative values for asymptomatic and symptomatic Achilles tendons.DesignCohort study with a single (cross-sectional) time point of patients diagnosed with unilateral Achilles tendinopathy and an asymptomatic group with comparative homogeneity.MethodsA sample of 50 participants: 25 diagnosed with symptomatic unilateral Achilles tendinopathy (AT group) and 25 with asymptomatic Achilles tendons (control group 2). The asymptomatic side of the AT group was used as a control (control group 1). Measurements at 2 cm intervals on the tendon from its insertion at the calcaneum up to the musculotendinous junction were taken non-weight bearing (NWB) and weight bearing (WB) using the MyotonPRO.ResultsThere was a significant (p<0.005) decrease in natural oscillation frequency (F) at points 2, 3 and 4 of the AT group (NWB condition) and points 2 and 3 for the WB condition. There was a significant (p<0.005) increase in logarithmic decrement (D) at points 2 and 3 signifying a decrease in elasticity. Dynamic stiffness (S) was significantly (p<0.005) reduced in the AT group at points 2 and 3 WB and point 3 WB. There was no significant difference in creep (C) observed between the symptomatic and asymptomatic tendons. There was a significant (p<0.005) increase in mechanical stress relaxation time (R) at point 2 NWB.There was a correlation between body weight and gender on tendon mechanics, with the symptomatic tendons. No significant differences were observed between the control group 1 and control group 2.ConclusionsThe MyotonPRO measured decreased stiffness over a section of the tendon corresponding clinically with Achilles tendinopathy. This may have potential in identifying risk of injury and informing rehabilitation, however further extensive research is required to generate baseline data for specific population groups monitoring variables over time. Age, gender and body mass index appear to have some bearing on the mechanical properties of the tendon but mainly in the tendinopathy group.

scholarly journals Fracture resistance of immature teeth filled with mineral trioxide aggregate, bioaggregate, and biodentine

2016 ◽  
Vol 10 (02) ◽  
pp. 220-224 ◽  
Author(s):  
Emre Bayram ◽  
Huda Melike Bayram
Keyword(s):  
Fracture Resistance ◽  
Mineral Trioxide Aggregate ◽  
Mean Values ◽  
Root Canals ◽  
Immature Teeth ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Post Hoc ◽  
Group 1

ABSTRACT Objective: The purpose of this study was to evaluate fracture resistance of teeth with immature apices treated with coronal placement of mineral trioxide aggregate (MTA), bioaggregate (BA), and Biodentine. Materials and Methods: Forty-one freshly extracted, single-rooted human premolar teeth were used for the study. At first, the root length was standardized to 9 mm. The crown-down technique was used for the preparation of the root canals using the rotary ProTaper system (Dentsply Maillefer, Ballaigues, Switzerland) of F3 (30). Peeso reamer no. 6 was stepped out from the apex to simulate an incompletely formed root. The prepared roots were randomly assigned to one control (n = 5) and three experimental (n = 12) groups, as described below. Group 1: White MTA (Angelus, Londrina, Brazil) was prepared as per the manufacturer's instructions and compacted into the root canal using MAP system (Dentsply Maillefer, Ballaigues, Switzerland) and condensed by pluggers (Angelus, Londrina, Brazil). Group 2: The canals were filled with DiaRoot-BA (DiaDent Group International, Canada). Group 3: Biodentine (Septodont, Saint Maur des Fosses, France) solution was mixed with the capsule powder and condensed using pluggers. Instron was used to determine the maximum horizontal load to fracture the tooth, placing the tip 3 mm incisal to the cementoenamel junction. Mean values of the fracture strength were compared by ANOVA followed by a post hoc test. P < 0.05 was considered statistically significant. Results: No significant difference was observed among the MTA, BA, and biodentine experimental groups. Conclusion: All the three materials tested, may be used as effective strengthening agents for immature teeth.

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