scholarly journals Efficacy of Biodentine as an Apical Plug in Nonvital Permanent Teeth with Open Apices: An In Vitro Study

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mehmet Bani ◽  
Elif Sungurtekin-Ekçi ◽  
Mesut Enes Odabaş

The aim of this study was to evaluate the apical microleakage of Biodentine and MTA orthograde apical plugs and to compare the effect of thickness of these biomaterials on their sealing ability. A total of eighty maxillary anterior teeth were used. The apices were removed by cutting with a diamond disc (Jota, Germany) 2 mm from the apical root end in an attempt to standardize the working length of all specimens to 15 ± 1 mm. Both materials were placed in 1–4 mm thickness as apical plugs root canal. Root canal leakage was evaluated by the fluid filtration technique. One-way ANOVA was used in order to determine normality of dispersal distribution of parameters; thereafter, results were analyzed by Kolmogorov-Smirnov test. Overall, between microleakage values of MTA and Biodentine regardless of apical plug thickness, no difference was observed. In terms of plug thickness, a statistically significant difference was observed between the subgroups of MTA and Biodentine (p<0.05). The apical sealing ability of Biodentine was comparable to MTA at any apical plug thickness.

Folia Medica ◽  
2018 ◽  
Vol 60 (4) ◽  
pp. 624-631
Author(s):  
Ganesh Ranganath Jadhav ◽  
Priya Mittal ◽  
Vishal Patil ◽  
Prashant Kandekar ◽  
Anish Kulkarni ◽  
...  

Abstract Background: Accurate working length (WL) determination is necessary in achieving optimal healing by non-surgical root canal therapy in teeth with inflammatory apical root resorption. Electronic apex locators (EALs) are one of the mainstays in determination of WL of teeth. Aim: This study evaluated the accuracy of three EALs [RootZX (third generation), iPex (fourth generation) and Raypex 6 (modification of a fifth generation)] in determining the WL of teeth with simulated apical root resorption in permanent teeth. Materials and methods: Forty freshly extracted maxillary anterior teeth were collected and a 45° oblique cut was made at the root apex with a disc to simulate apical root resorption. Actual working length (AWL) was determined by direct visual method and was used as a control. Electronic working length (EWL) values were measured by three different apex locators that are RootZX (Group I), iPex (Group II) and Raypex 6 (Group III) at apex, 0.5 mm and 1 mm from apex. All values obtained were tabulated and statistical evaluation was carried out. Results: At apex, EWL obtained using iPex (p=0.05) showed a statistically significant difference from AWL. At 0.5 mm and 1.0 mm tolerance, iPex showed non-acceptability for WL measurement in 67.5% and 17.5% of samples compared to Root ZX (12.5% and 2.5%) and Raypex (7.5% and none) respectively. Conclusion: Within the limitation of this study, it can be concluded that Raypex 6 and RootZX show statistically significant accuracy in WL measurement compared with iPex in teeth with apical root resorption.


1970 ◽  
Vol 37 (1) ◽  
pp. 15-18 ◽  
Author(s):  
AKM Bashar ◽  
Reema Joshi ◽  
MS Alam

Present study was conducted to evaluate the accuracy of Electronic Apex Locator to measure the root canal length in presence of blood, an unavoidable event during extirpation of vital pulp. A number of sixty (60) previously untreated extracted human maxillary and mandibular permanent mature anterior teeth having more or less straight roots with single root canal were included in the study. Root canal lengths were measured using a no. 15 k-file (Mani Inc, Tokyo Japan) in all the teeth until it was just visible through apical foramen that was confirmed by viewing them in Stereomicroscope. The measurements obtained by the Stereomicroscope of all teeth were consider as the ‘Gold standard' and was also consider as the actual length of those teeth. Using an Electronic Apex locator (Foramatron D 10, Percell, USA) was used to measure the canal length of the same sixty teeth introducing human blood into the canal. Now the measurements taken by Electronic Apex locator (EAL) in presence of blood were compared with the actual length taken by the stereomicroscope and difference in the error length compared with stereomicroscopic length were calculated in a range from -0.5mm to >1 mm. It was observed that working length measurements by EAL in presence of blood within canal mostly remain within clinically acceptable range (± 0.5 mm).   DOI: 10.3329/bmj.v37i1.3602 Bangladesh Medical Journal 37(1) 2008 15-18


2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Kiranmayi Govula

Introduction: The combination of various irrigants, irrigation techniques along with root canal sealers helps in achieving a three-dimensional seal in root canals, which is of clinical relevance. The present in-vitro study aims to assess and compare the efficacy of laser-activated NaOCl on the sealing ability of two endodontic sealers. Materials and Methods: Forty extracted human single-rooted permanent teeth were collected and decoronated 12 mm from their apices. Instrumentation did with an 11 mm working length using Rotary Pro taper files to F3. All the teeth grouped into four (n= 10) based on irrigation protocol and sealer used as follows: Group A1 – Laser activated NaOCl + AH Plus Group A2 – Laser activated NaOCl +nano seal, Group B1 – NaOCl + AH Plus, Group B2 – NaOCl + nano seal. The lateral condensation technique did obturation. Roots stored in freshly prepared 1% methylene blue for 72 hours. The roots were split longitudinally along the long axis using a diamond disc underwater coolant, and markings made at 2, 4, and 6 mm from the apex. The depth of dye penetration and microleakage examined under a stereomicroscope (Magnus) at 30× magnification. Results: Statistical analysis carried out by using the software, statistical package for social sciences [SPSS]. Results represented in the form of minimum, mean, and standard deviation. Conclusion: The laser-activated NaOCl group exhibited better sealing ability than the control group. Among the two sealers, the Bio root RCS sealer showed less leakage & better sealing ability than AH plus Clinical Significance: Increasing the temperature of low concentration sodium hypochlorite solution by the action of the diode laser, not only enhances its immediate tissue dissolution capacity but also increased the dentin permeability by removing the smear layer. Further leading to better adhesion between the root canal sealer and the gutta-percha with the radicular dentin.


2017 ◽  
Vol 18 (9) ◽  
pp. 790-794 ◽  
Author(s):  
Anand Agarwal ◽  
Zinnie Nanda ◽  
Rahul B Deore ◽  
Kavitarani Rudagi ◽  
Mirza Osman Baig ◽  
...  

ABSTRACT Aim The aim of this study was (i) to evaluate the formation of air bubbles in the apical region of root canal (apical vapor lock) during syringe irrigation, using cone beam computed tomography (CBCT) and (ii) comparative evaluation of the elimination of an established vapor lock by EndoActivator, ultrasonics, and manual dynamic agitation (MDA), using CBCT. Materials and methods A total of 60 extracted human singlerooted teeth were equally divided into three groups of 20 teeth each. The samples were decoronated 17 mm from the apex, cleaned, and shaped to size F4 Protaper using 3% sodium hypochlorite. Samples were irrigated with 3% sodium hypochlorite + cesium chloride radiopaque dye, and preoperative CBCT images were obtained. After formation of apical vapor lock in the scanned teeth, EndoActivator (group I), passive ultrasonic irrigation (group II), and MDA with K-file (group III) were performed and the teeth were again placed in CBCT scanner and results analyzed using the chi-square test. Results The apical vapor lock was formed in all the samples. Out of the 20 teeth in each group, the apical vapor lock was eliminated in 18 samples of EndoActivator group (90%), 16 samples of ultrasonic group (80%), while it was eliminated in 10 samples by MDA (50%). Conclusion It is concluded that (1) apical vapor lock is consistently formed during endodontic irrigation in closed canal systems and (2) sonic activation performs better than the ultrasonics and MDA in eliminating the apical vapor lock, with statistically significant difference between all the three groups (p < 0.05). Clinical significance The results suggest that the apical vapor lock (dead water zone) is consistently formed during endodontic irrigation which impedes irrigant penetration till the working length, thereby leading to inefficient debridement. Hence, to eliminate this vapor lock, techniques, such as sonics or ultrasonics should be used along with the irrigant after shaping and cleaning of the root canal. How to cite this article Agarwal A, Deore RB, Rudagi K, Nanda Z, Baig MO, Fareez MA. Evaluation of Apical Vapor Lock Formation and comparative Evaluation of its Elimination using Three different Techniques: An in vitro Study. J Contemp Dent Pract 2017;18(9):790-794.


2017 ◽  
Vol 18 (12) ◽  
pp. 1130-1134 ◽  
Author(s):  
Vimal Remy ◽  
Vineesh Krishnan ◽  
Tisson V Job ◽  
Madhavankutty S Ravisankar ◽  
CV Renjith Raj ◽  
...  

ABSTRACT Aim This study aims to compare the marginal adaptation and sealing ability [mineral trioxide aggregate (MTA)-Fillapex, AH Plus, Endofill sealers] of root canal sealers. Materials and methods In the present study, the inclusion criteria include 45 single-rooted extracted mandibular premolar teeth, with single canal and complete root formation. The sectioning of the samples was done at the cementoenamel junction using a low-speed diamond disc. Step-back technique was used to prepare root canals manually. The MTA-Fillapex, AH Plus, and Endofill sealers were the three experimental sealer groups to which 45 teeth were distributed. Under scanning electron microscope (SEM), marginal gap at sealer and root dentin interface were examined at coronal and apical halves of root canal. Results Among the three maximum marginal adaptations were seen with AH Plus sealer (4.10 ± 0.10) which is followed by Endofill sealer (1.44 ± 0.18) and MTA-Fillapex sealer (0.80 ± 0.22). Between the coronal and apical marginal adaptation, significant statistical difference (p = 0.001) was seen in AH Plus sealer. When a Mann–Whitney U-test was done on MTA-Fillapex sealer vs AH Plus sealer and AH Plus sealer vs Endofill sealer, there was a statistically significant difference (p < 0.05) found between the above two groups at coronal and apical third. Conclusion The present study proves that AH Plus sealer has a better marginal adaptation when compared with other sealers used. Clinical significance For sealing space of crown wall and main cone in root canal treatment, sealers play an important role. The other advantages of sealers are that they are used to fill voids and irregularities in root channel, secondary, lateral channels, and space between applied gutta-percha cones and also act as tripper during filling. How to cite this article Remy V, Krishnan V, Job TV, Ravisankar MS, Raj CVR, John S. Assessment of Marginal Adaptation and Sealing Ability of Root Canal Sealers: An in vitro Study. J Contemp Dent Pract 2017;18(12):1130-1134.


2015 ◽  
Vol 16 (9) ◽  
pp. 733-739 ◽  
Author(s):  
Heba M El-Khodary ◽  
Deema J Farsi ◽  
Najat M Farsi ◽  
Ahmed Z Zidan

ABSTRACT Aim The aim of this study was to compare the sealing ability of mineral trioxide aggregate (MTA), Portland cement (PC), BiodentineTM and Tech biosealer in repairing furcal perforations in primary molars using the fluid-filtration technique. Materials and methods Fifty freshly extracted maxillary second primary molars were sectioned horizontally at the furcation region to create dentin disks of 1.5 mm (+ 0.1 mm) thickness. Five disks were not perforated and served as negative controls. In the remaining 45 disks, furcation perforations were prepared. Five disks did not receive furcation repair and served as positive controls. The remaining 40 disks were then randomly divided into four equal groups (10 disks in each group). Perforations were repaired with: MTA, PC, BiodentineTM or Tech Biosealer. The sealing ability of the tested materials was evaluated by measuring microleakage for each disk after four different storage periods: 24-hour, 1-month, 6-month and 1-year storage using fluid-filtration. Comparisons between the four materials and the four time periods were done using the two-way analysis of variance and the Scheffe multiple comparisons test. Results There was no significant difference between the mean microleakage values obtained in the four tested materials after 24 hours, 1, 6 month and 1 year. However, microleakage values for each individual material were significantly higher at 24 hours than at the other time intervals. Conclusion Mineral trioxide aggregate, PC, BiodentineTM and Tech biosealer showed similar capabilities in sealing the furcal perforations of the primary molars, where the sealing ability improved over time for each individual material. How to cite this article El-Khodary HM, Farsi DJ, Farsi NM, Zidan AZ. Sealing Ability of Four Calcium Containing Cements used for Repairing Furcal Perforations in Primary Molars: An in vitro study. J Contemp Dent Pract 2015;16(9):733-739.


2014 ◽  
Vol 39 (1) ◽  
pp. 30-34 ◽  
Author(s):  
SG Tulsani ◽  
N Chikkanarasaiah ◽  
S Bethur

Objectives: Biopure MTAD™, a new root canal irrigant has shown promising results against the most common resistant microorganism, E. faecalis, in permanent teeth. However, there is lack of studies comparing its antimicrobial effectiveness with NaOCl in primary teeth. The purpose of this study was to compare the in vivo antimicrobial efficacy of NaOCl 2.5% and Biopure MTAD™ against E. faecalis in primary teeth. Study design: Forty non vital single rooted primary maxillary anterior teeth of children aged 4-8 years, were irrigated either with NaOCl 2.5% (n=15), Biopure MTAD™ (n=15) and 0.9% Saline (n=10, control group). Paper point samples were collected at baseline (S1) and after chemomechanical preparation (S2) during the pulpectomy procedure. The presence of E. faecalis in S1 & S2 was evaluated using Real time Polymerase Chain Reaction. Results: Statistical significant difference was found in the antimicrobial efficacy of NaOCl 2.5 % and BioPure MTAD™ when compared to saline (p&gt;0.05). However, no statistical significant difference was found between the efficacies of both the irrigants. Conclusions: NaOCl 2.5% and BioPure MTAD™, both irrigants are equally efficient against E. faecalis in necrotic primary anterior teeth. MTAD is a promising irrigant, however clinical studies are required to establish it as ideal root canal irrigant in clinical practice.


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.


2020 ◽  
Vol 11 (2) ◽  
pp. 33
Author(s):  
RakeshKumar Yadav ◽  
Harsh Bhoot ◽  
Anil Chandra ◽  
Promila Verma ◽  
Ramesh Bharti ◽  
...  

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