Ex vivo evaluation of coronal and apical microbial leakage of root canal--filled with gutta-percha or Resilon/Epiphany root canal filling material.
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Removal of root canal filling materials using Er:YAG laser irradiation.
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The purpose of this study was to examine the ability of Er:YAG laser to remove root canal filling materials. The root canals of 21 extracted human anterior teeth were enlarged, and then obturated with gutta-percha points and sealer by lateral condensation. Filling materials were removed from root canals using Er:YAG laser irradiation at three energy output levels (30, 40, and 50 mJ/ pulse), and the corresponding time required for material removal at each energy output level was recorded. The amount of remaining filling material and the degree of dentin ablation in the canal wall were assessed using microfocus X-ray CT before and after removal. At 30 mJ, the time required for root canal filling material removal was significantly longer than at energy outputs of 40 and 50 mJ (p<0.01). On filling material remnants and the degree of dentin ablation, these parameters were not significantly different among the three energy outputs. In conclusion, these results suggested that Er:YAG laser irradiation is capable of removing root canal filling materials. (+info)
Comparative study of the sealing ability of the lateral condensation technique and the BeeFill system after canal preparation by the Mtwo NiTi rotary system.
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The purpose of this in vitro study was to compare the sealing ability of the lateral condensation technique and the BeeFill system after canal preparation by the Mtwo rotary system. Forty extracted single-rooted teeth were prepared by using the Mtwo rotary system. The teeth were then divided into 2 experimental groups (n = 15 each) and 2 control groups (n = 5 each). The specimens in groups 1 and 2 were obturated using the lateral condensation technique and the BeeFill system, respectively. The teeth in the negative control group were also obturated with the lateral condensation technique, and the specimens in the positive control group were not root-filled. The specimens were then immersed in an aqueous solution of 2% China ink for 1 week, after which the roots were cleared and the linear extent of dye penetration was measured with a stereomicroscope by 2 endodontists. The data collected were then analyzed by using the 1-sample Kolmogorov-Smirnov test and independent t test, with a significance level of P < or = 0.05. Although the mean (+/- standard deviation) dye leakage in the BeeFill thermoplasticized injection group was less than that in the lateral condensation group (1.497 +/- 0.7 vs. 2.521 +/- 1.733), there was no significant difference between the experimental groups on the parametric independent t-test (P = 0.209). (+info)
Single-session use of mineral trioxide aggregate as an apical barrier in a case of external root resorption.
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External root resorption may occur as a consequence of trauma, orthodontic treatment, bacterial infection or incomplete sealing of the root canal system (bacterial re-infection), and lead to crater formation on the resorbed apex. This would deform the root apex surface, and cause loss of apical constriction. Depending on the extent of the resorptive process, different treatment regimens have been proposed. A 34-year-old male patient presented with an intra-radicular retainer and an inadequate filling on tooth #21, as well as a radiographic image suggesting periapical bone rarefaction. After root canal retreatment, the defect was accessed coronally. The resorption area was chemo-mechanically debrided and since the apical end was very wide, a calcium sulphate matrix was made. Mineral trioxide aggregate (MTA) was used to fill the resorptive defect, and the coronal access was temporarily sealed. After 24 h, the quality of the apical seal was evaluated with the aid of an operating microscope, and then the root canal system was filled. A 12-month follow-up radiograph showed adequate repair of the resorption. Clinically, the tooth was asymptomatic. We concluded that MTA can be successfully used to avoid overextension of the filling material when treating a tooth with external resorption. (+info)
The effect of irrigation solutions on the apical sealing ability in different root canal sealers.
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Long-term sealing ability of GuttaFlow versus Ah Plus using different obturation techniques.
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OBJECTIVE: To compare the long-term sealing ability of GuttaFlow(R) using different obturation techniques. STUDY DESIGN: Three hundred teeth, prepared with a crown-down technique, were divided into thirty experimental groups (n=10) to evaluate the apical and coronal leakage, at 3, 30 and 120 days, of lateral compaction gutta-percha+AH Plus TM, lateral compaction gutta-percha+GuttaFlow(R), single cone+AH Plus TM, single cone+GuttaFlow(R), and GuttaFlow(R) only. RESULTS: Both coronal and apical leakage, at the three times of measurement, no significant differences were found among GuttaFlow(R)+lateral compaction gutta-percha and GuttaFlow(R)+single cone groups, whereas the only GuttaFlow(R) reached the highest leakage values at 30 and 120 days. AH Plus TM, using both techniques, showed high levels of leakage after 120 days to the coronal leakage and after 30 days to the apical leakage when compared silicon based sealer. CONCLUSION: GuttaFlow(R), using with lateral compaction and single cone techniques, shows a greater apical and coronal sealing ability than AH Plus TM over time. GuttaFlow(R) when used as only creates a poorer sealing when used with lateral compaction gutta-percha or single cone techniques. (+info)