scholarly journals Evaluation of Dentin Defect Formation during Retreatment with Hand and Rotary Instruments: A Micro-CT Study

Scanning ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Ayca Yilmaz ◽  
Dilek Helvacioglu-Yigit ◽  
Cansu Gur ◽  
Handan Ersev ◽  
Gullu Kiziltas Sendur ◽  
...  
Keyword(s):  
Defect Formation ◽  
In Vitro Study ◽  
Cross Sectional ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Longitudinal Length ◽  
Root Canal Retreatment ◽  
Significant Difference ◽  
Length Changes

The purpose of this study was to compare the incidence and longitudinal propagation of dentin defects after gutta-percha removal with hand and rotary instruments using microcomputed tomography. Twenty mandibular incisors were prepared using the balanced-force technique and scanned in a 19.9 μm resolution. Following filling with the lateral compaction technique, gutta-percha was removed with ProTaper Universal Retreatment (PTUR) or hand instruments. After rescanning, a total of 24,120 cross-sectional images were analyzed. The numbers, types, and longitudinal length changes of defects were recorded. Defects were observed in 36.90% of the cross sections. A total of 73 defects were comprised of 87.67% craze lines, 2.73% partial cracks, and 9.58% fractures. No significant difference in terms of new defect formation was detected between the retreatment groups. The apical and middle portions of the roots had more dentin defects than the coronal portions. Defects in three roots of the PTUR instrument group increased in length. Under the conditions of this in vitro study, gutta-percha removal seemed to not increase the incidence of dentin defect formation, but the longitudinal defect propagation finding suggests possible cumulative dentinal damage due to additional endodontic procedures. Hand and rotary instrumentation techniques caused similar dentin defect formation during root canal retreatment.

scholarly journals Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques

2018 ◽  
Vol 75 (1) ◽  
pp. 56-61
Author(s):  
Dragana Pesic ◽  
Irena Melih ◽  
Veljko Kolak ◽  
Ana Nikitovic ◽  
Ankica Jakovljevic
Keyword(s):  
Treatment Success ◽  
In Vitro Study ◽  
Filling Material ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Apical Extrusion ◽  
Significant Difference ◽  
Ah Plus ◽  
Endodontic Retreatment

Background/Aim. Apical extrusion of material is considered as one of the very important factor for endodontic treatment success. Microorganisms, necrotic tissue, filling material and irrigants, which can be extruded apically during endodontic retreatment, may jeopardize the success of the therapy. The aim of this in vitro study was to quantitatively evaluate the amount of apically extruded debris during endodontic retreatment of teeth obturated with two different materials, using one hand and three rotary instrumentation techniques. Methods. Ninety-six extracted single-rooted teeth were endodontically treated and enlarged to size 40 using BioRaCe system, and then randomly divided into 8 groups of 12 specimens each. Half of the specimens were obturated with gutta-percha and AH Plus? sealer and another half with RealSeal SE system, using lateral condensation technique. Retreatment was performed using: Hedstr?m files; ProFile rotary files; ProTaper Retreatment system and D-RaCe system. Apically extruded debris was collected in pre-weighed Eppendorf tubes and evaluated using an electronic microbalance. Data were analyzed statistically using t-test and analysis of variance. Results. In the AH Plus/gutta-percha group, all tested rotary instruments gave significantly less extruded debris compared with Hedstr?m files (p < 0.05). In theRealSeal group, there was significant difference between DRaCe and Hedstr?m instruments (p < 0.05). Conclusion. All retreatment techniques resulted in apical extrusion. DRaCe system produced significantly less extruded debris compared to hand files. No significant difference was found when comparing two instruments specially designed for retreatment: D-RaCe and ProTaper systems.

scholarly journals In vitro study of effect of solvent on root canal retreatment

2002 ◽  
Vol 13 (3) ◽  
pp. 208-211 ◽  
Author(s):  
Kazumi Onaga Nagayama Oyama ◽  
Evandro Luiz Siqueira ◽  
Marcelo dos Santos
Keyword(s):  
In Vitro Study ◽  
The Other ◽  
Orange Oil ◽  
Root Canals ◽  
Effect Of Solvent ◽  
Gutta Percha ◽  
Root Canal Retreatment ◽  
Significant Difference ◽  
Made In

The aim of this study was to assess the effectiveness of five different solvents: xylol, eucalyptol, halothane, chloroform and orange oil on softening gutta-percha in simulated root canals. One drop of solvent was placed into a reservoir made in a simulated canal whose channel was previously instrumented and filled with gutta-percha and N-Rickert sealer. After 5 min, softening was evaluated for each solvent by the penetration of a spreader while applying force with a 442 Instron apparatus to reach a depth of 5 mm. The results were analyzed statistically by the Kruskal-Wallis test. Xylol and orange oil were better in softening gutta-percha than the other solvents. There was no significant difference between xylol and orange oil, but these were statistically different from eucalyptol, halothane and chloroform (p<0.01).

scholarly journals Evaluation of Gaps or Voids Occurring in Roots Filled with Three Different Sealers

2010 ◽  
Vol 04 (02) ◽  
pp. 101-109 ◽  
Author(s):  
Melek Akman ◽  
Serhan Akman ◽  
Oznur Derinbay ◽  
Sema Belli
Keyword(s):  
In Vitro Study ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Single Cone ◽  
Ah Plus ◽  
Root Dentin ◽  
The Mean ◽  
Free Interfaces ◽  
Niti Rotary Instruments

Objectives: The purpose of this in vitro study was to evaluate gaps or voids occurring in roots filled with three different sealers.Methods: Thirty extracted human single-rooted teeth were decoronated, instrumented using NiTi rotary instruments, divided into three groups (n=10 per group) and obturated with one of the following: Epiphany with Resilon, MetaSEAL with gutta-percha or AH Plus with gutta-percha using the match-taper single-cone technique. After storage for one week in 100% humidity at 37°C, the teeth were horizontally sectioned (n=10). Photographs were taken from the coronal, median and apical parts of the roots using a stereomicroscope at 10X magnification, and the images were then transferred to a computer. The mathematical method known as the ‘Affine Transformation’ was used for the transformation of pixel coordinates to ground coordinates in the Netcad Software program. The mean areas (μm2) of the gaps between the sealer and root dentin or gutta percha/resilon and the gaps between the sealer and/or voids inside the sealer mass were measured, scored on a 0-3 scale and statistically analyzed with the Kruskal-Wallis test.Results: The mean total area of gaps or voids for each sealer was 4631.80 μm2 for the Epiphany- Resilon, 3826.80 μm2 for the MetaSEAL-gutta-percha and 31334 μm2 for the AH Plus-gutta-percha. The MetaSEAL-gutta-percha group showed more gap or void-free interfaces. No significant differences were found among the sealers in the scores for the gap areas (P<.05), and the MetaSEAL showed similar interfaces with Epiphany.Conclusions: No significant differences in the mean areas of gaps or voids were found among the tested resin-based sealers. (Eur J Dent 2010;4:101-109)

scholarly journals Evaluation of the apical microleakage of MTA Fillapex, AH26, and Endofill sealers

2020 ◽  
Vol 23 (3) ◽  
Author(s):  
Saeedeh Galledar ◽  
Robab Farhang ◽  
Malek Abazari ◽  
Parisa Negahdar
Keyword(s):  
Root Canal ◽  
Test Group ◽  
In Vitro Study ◽  
Negative Control ◽  
Vitro Study ◽  
Control Group ◽  
Dye Penetration ◽  
Gutta Percha ◽  
Significant Difference

Objective: Proper apical seal plays an important role in the success of root canal treatment. The most common cause of failure of root canal therapy is known as the lack of adequate apical seal. The aim of this in vitro study was to compare the apical microleakage of MTA Fillapex, , and Endofill sealers using dye penetration method. Material and Methods: In this in vitro study, 72 single-rooted extracted human teeth were selected. The teeth were randomly divided into three experimental groups of 20 and two positive and negative control groups of 6. The canals were prepared by step-back technique and then filled with gutta-percha and one of the sealers mentioned. In the positive control group, the canals were filled with gutta-percha without sealer, and in the negative control group, the canals were prepared but not filled. The teeth were immersed in 2% methylene blue dye for 72 hours. The teeth were then cut longitudinally and the level of dye penetration was measured under a stereomicroscope. Data were analyzed by SPSS ver. 19 software, ANOVA and Bonferroni post-hoc tests. Results: The mean level of dye penetration in the Endofill test group was significantly higher than that in the  and MTA Fillapex test groups. While, the observed difference between  and MTA Fillapex groups was not statistically significant (p<0.05). Conclusion: The results of this study showed that  and MTA Fillapex sealers did not show any significant difference in apical seal properties. However, their sealing strength was significantly greater than Endofill sealer.KeywordsAH26 sealer; Endofill; MTA Fillapex; Microleakag

scholarly journals Apical Extrusion of Intracanal Debris Using Two Engine Driven and Step-Back Instrumentation Techniques: An In-Vitro Study

2008 ◽  
Vol 02 (04) ◽  
pp. 233-239 ◽  
Author(s):  
Alper Kustarci ◽  
Neslihan Akdemir ◽  
Seyda Herguner Siso ◽  
Demet Altunbas
Keyword(s):  
Stainless Steel ◽  
Analysis Of Variance ◽  
Statistical Significance ◽  
In Vitro Study ◽  
Type Stainless Steel ◽  
Rotary Instruments ◽  
Apical Extrusion ◽  
Working Length ◽  
Significant Difference

ABSTRACTObjectives: The purpose of this study was to compare in-vitro the amount of debris extruded apically from extracted teeth, using K3, Protaper rotary instruments and manual step-back technique.Methods: Forty five human single-rooted mandibular premolar teeth were randomly divided into 3 groups. The teeth in 3 groups were instrumented until reaching the working length with K3, Protaper rotary instruments and K-type stainless steel instruments with manual step-back technique, respectively. Debris extruded from the apical foramen was collected into centrifuge tubes and the amount was determined. The data obtained were analyzed using Kruskal-Wallis one-way analysis of variance and Mann-Whitney U tests, with P=.05 as the level for statistical significance.Results: Statistically significant difference was observed between K3, Protaper and step-back groups in terms of debris extrusion (P<.05). Step-back group had the highest mean debris weight, which was significantly different from the K3 and Protaper groups (P<.05). The lowest mean debris weight was related to K3 group, which was significantly different from the Protaper group (P<.05).Conclusions: Based on the results, all instrumentation techniques produced debris extrusion. The engine-driven Ni-Ti systems extruded significantly less apical debris than step-back technique. However, Protaper rotary instruments extruded significantly more debris than K3 rotary instruments. (Eur J Dent 2008;2:233-239)

scholarly journals Effectiveness of Three Rotary Niti Instruments and Hand Instrumentation in Removing Gutta Percha from Root Canals: an in vitro Study

2015 ◽  
Vol 03 (03) ◽  
pp. 152-158
Author(s):  
Varun Jindal ◽  
Ajay Chhabra ◽  
◽  
Keyword(s):  
In Vitro Study ◽  
Radiographic Analysis ◽  
Filling Material ◽  
Universal System ◽  
Root Canals ◽  
Gutta Percha ◽  
Significant Difference ◽  
Niti Instruments ◽  
Hand Instrumentation

Abstract Objectives: The study aimed to assess variation in the remaining filling material by radiographic analysis and the time taken for retreatment system, with H-files; the ProTaper Universal Retreatment System; Mtwo retreatment system and the SybronEndo K3. Methods: 120 human mandibular premolars with single straight root canals were prepared with rotary twisted files (up to size 40/0.04) using the crown down technique and filled by cold lateral condensation and the radiographs were taken. After one week, teeth were divided into four groups (n = 30). Gutta-percha was removed using H-files, the ProTaper Universal Retreatment System, Mtwo system and the K3 System. After retreatment radiographs were taken for each sample and the remaining material was calculated for each canal third. Results: Rotary NiTi instruments were significantly faster than the hand instrumentation technique in performing the retreatment. In radiographic analysis there was significant difference in between the groups for coronal third in ProTaper group and for apical third in H-file group. Conclusions: In the radiographic analysis the ProTaper Universal System left less filling material in the coronal third and the H-files left less filling material in apical third as compared to other groups. Rotary instruments worked faster than H files.

scholarly journals Efficacy of Two Rotary Instruments For Gutta Percha Removal During Root Canal Retreatment

2014 ◽  
Vol 4 (2) ◽  
pp. 56-60 ◽  
Author(s):  
JS Dhillon ◽  
A Bhagat ◽  
G Chhabra
Keyword(s):  
Ex Vivo ◽  
Root Canals ◽  
Gutta Percha ◽  
Group I ◽  
Rotary Instruments ◽  
Root Canal Retreatment ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Research And Education

Aim - Evaluate the efficacy of Pro Taper and Pro Taper Retreatment instruments in the removal of gutta-percha during retreatment of straight root canals in comparison with Hedstrom files. Methodology -The root canals of 30 Maxillary central incisors were instrumented by step back procedure and obturated with lateral condensation before the teeth were randomly divided into three groups of 10 specimens each i.e. Group I-using Hfiles, Group 2- using Pro Taper and Group 3- using Pro Taper retreatment. Radiographs were taken after the filling removal and the canal wall cleanliness was evaluated. Roots were divided into apical, middle and coronal parts and scored on a scale of 0 (no debris), 1(25-50% of walls covered with debris and 3 (>50% of walls covered with debris).Number of fractured instruments were also evaluated in each group. Results-There was no significant difference (p>0.05) between the three groups in terms of the debris seen radio graphically after retreatment. Conclusion - All systems evaluated ex vivo were equally effective in removing gutta percha during retreatment. DOI: http://dx.doi.org/10.3329/bjdre.v4i2.20250 Bangladesh Journal of Dental Research and Education Vol.4(2) 2014: 56-60

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 Are the Effects in Temperature and Current Flow Dependent on the Areas of Electrode Application of Capacitive-resistive Electric Transfer on the Shoulder? A Cadaveric Study

2020 ◽  
Author(s):  
Jacobo Rodríguez-Sanz ◽  
Carlos López-de-Celis ◽  
César Hidalgo-García ◽  
Max Canet-Vintró ◽  
Pablo Fanlo-Mazas ◽  
...  
Keyword(s):  
High Power ◽  
Temperature Increase ◽  
Current Flow ◽  
In Vitro Study ◽  
Supraspinatus Tendon ◽  
Lateral Position ◽  
Cross Sectional ◽  
Significant Difference ◽  
Glenohumeral Capsule

Abstract Background Impingement syndrome is currently estimated to represent 60% of all shoulder pain disorders. Capacitive-Resistive electric transfer therapy is aimed to provoke temperature and current flow changes in superficial and deep tissues. This in vitro study has evaluated the variation of temperature and current flow in the shoulder tissues during two different areas of application of the movable capacitive-resistive electric transfer electrode. Methods A cross-sectional study designed, five fresh cryopreserved cadavers (10 shoulders) were included in this study. Four interventions (capacitive and resistive modes; low- and high-power) were performed for 5 minutes each by a diathermy “T-Plus” device in two shoulder regions: postero-superior and antero-lateral. Supraspinatus tendon, glenohumeral capsule and superficial temperatures were recorded at 1-min intervals and 5 min after treatment. Results A statistically significant difference was found only for the superficial area and time interaction, with high power-resistive application at the postero-superior shoulder area (P < 0.035). All the applications showed a final temperature increase compared with the basal data, in all the application points. Superficial temperature in the high power-resistive application showed the greatest percent increase (42.93% ± 22.58), followed by the temperature in the tendon area with the same high power-resistive application (22.97% ± 14.70). The high power-resistive application showed the greatest percent of temperature increase in the applications, reaching 65.9% ± 22.96 at 5-min at the superficial level, and 32% ± 24.25 at 4-min at the level of the supraspinatus tendon. At the capsule level, high power-resistive was also the application that showed the greatest percent of increase, with 21.52% ± 16.16. The application with the lowest percent of temperature increase was the low power-capacitive, with a mean value of 4.86% at supraspinatus tendon level and 7.47% at capsular level. Conclusion The shoulder postero-superior or antero-lateral areas of application of capacitive-resistive electric transfer did not cause statistically significant differences in the temperature changes in either supraspinatus tendon or glenohumeral capsule tissues in cadaveric samples. The high power-resistive application in the postero-superior area significantly increased superficial temperature compared with the same application in the antero-lateral position area.

Sign in / Sign up

Export Citation Format

Share Document