The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 19 , ISSUE 7 ( 2018 ) > List of Articles

ORIGINAL RESEARCH

Impact of the Root Canal Taper on the Apical Adaptability of Sealers used in a Single-cone Technique: A Micro-computed Tomography Study

Carla Zogheib, Sfeir Germain, Kohli Meetu, Khalil Issam, Naaman Alfred

Keywords : Bioceramics, Micro-computed tomography, Sealer, Taper, Voids

Citation Information : Zogheib C, Germain S, Meetu K, Issam K, Alfred N. Impact of the Root Canal Taper on the Apical Adaptability of Sealers used in a Single-cone Technique: A Micro-computed Tomography Study. J Contemp Dent Pract 2018; 19 (7):808-815.

DOI: 10.5005/jp-journals-10024-2340

License: CC BY-NC 3.0

Published Online: 01-01-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Aim: The purpose of this study was to assess the influence of root canal taper on the apical adaptability of three root canal sealers used in a single-cone technique by measuring void's volume. Materials and methods: Thirty-six maxillary premolar root canals were divided into two groups. Eighteen root canals were shaped with iRace/FKG 0.3 to 0.04 instrument and 18 with 0.3 to 0.06 iRace/FKG instrument. Roots were then scanned using micro-computed tomography (CT). Each group was divided into three subgroups, containing six samples each, filled respectively, with AHPlus® (AH), TotalFill® (TF), and a novel bioceramic (NB) sealers. The roots were rescanned using micro-CT in order to superimpose the two scans and calculate the voids volume in the apical third. Statistical analyses were done using analysis of variance (ANOVA) test with a level of significance (p < 0.05). AH4 is for the 4% tapered root canals that are filled with AH sealer. TF4 is for the 4% tapered root canals that are filled with TF. NB4 is for the 4% tapered root canals that are filled with the NB sealer. AH6 is for the 6% tapered root canals that are filled with AH. TF6 is for the 6% tapered root canals that are filled with TF. NB6 is for the 6% tapered root canals that are filled with the NB sealer. Results: Regarding void's volume measurements, all groups filled with AH and TF sealers showed similar results for both tapers with no statistical differences (p > 0.05); 4% AH: 0.0354 ± 0.0354; 4% TF: 0.0370 ± 0.0245; 6% AH: 0.0447 ± 0.0348; 6% TF: 0.0588 ± 0.0150 (p > 0.05), whereas 6% tapered preparations showed significantly less voids compared with 4%, specifically for the NB sealer tested. 4%: 0.123 ± 0.130; 6%: 0.068 ± 0.035 (p < 0.05). Conclusion: Bioceramic (BC) sealers showed good all-round performance demonstrating good adaptability, and reduced voids while maintaining similar characteristics when compared with conventional resin sealer. Clinical significance: The conservative preparations in AH4 and TF4 did not induce less voids compared with more enlarged tapers (6%) in AH6 and TF4 groups.


PDF Share
  1. Schilder H. Filling root canals in three dimensions. Dent Clin North Am 1967 Nov;723-744.
  2. Emery O. Leakage evaluation of the root canal fillings: a literature review. Rev Odont Stomat 2002 Nov;31:279-297.
  3. Reeh ES, Messer HH, Douglas WH, Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod 1989 Nov;15(11):512-516.
  4. Tang W, Wu Y, Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth. J Endod 2010 Apr;36(4):609-617.
  5. Clark D, Khademi J, Herbranson E. Fracture resistant endodontic and restorative preparations. Dent Today 2013 Feb;32(2):118, 120-123.
  6. Clark D, Khademi J, Herbranson E. The new science of strong endo teeth. Dent Today 2013 Apr;32:112, 114, 116-117.
  7. Chen I, Karabucak B, Wang C, Wang HG, Koyama E, Kohli MR, Nah HD, Kim S. Healing after root-end microsurgery by using mineral trioxide aggregate and a new calcium silicate-based bioceramic material as root-end filling materials in dogs. J Endod 2015 Mar;41(3):389-399.
  8. Best SM, Porter AE, Thian ES, Huang J. Bioceramics: past, present and for the future. J Eur Ceram Soc 2008 Dec;28(7): 1319-1327.
  9. Prasannan R, Pillai R, Varghese NO, U-Nu S. Bioceramic sealers—game changer in endodontic obturation. JCAESOK 2012 Apr;2(1):42-44.
  10. Koch K, Brave D, Nasseh AA. A review of the bioceramic technology in endodontics. CE Article 2014 Apr;4:6-12.
  11. Koch K, Brave D. Bioceramic technology—the game changer in endodontics. Endod Pract 2009 Apr;12:13-17.
  12. Hess D, Solomon E, Spears R, He J. Retreatability of a bioceramic root canal sealing material. J Endod 2011 Nov;37(11): 1547-1549.
  13. Chakar S, Changotade S, Osta N, Khalil I. Cytotoxic evaluation of a new ceramic-based root canal sealer on human fibroblasts. Eur J Dent 2017 Apr-Jun;11(2):141-148.
  14. Chen CC, Ho CC, David Chen CH, Ding SJ. Physicochemical properties of calcium silicate cements for endodontic treatment. J Endod 2009 Sep;35(9):1288-1291.
  15. Khalil I, Naaman A, Camilleri J. Properties of tricalcium silicate sealers. J Endod 2016 Oct;42(10):1529-1535.
  16. Robberetch L, Colard T, Claisse-Crinquette A. Qualitative evaluation of two endodontic obturation techniques: tapered single-cone method versus warm vertical condensation and injection system: an in vitro study. J Oral Sci 2012 Mar;54(1):99-104.
  17. Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature. Int Endod J 2008 Jan;41(1):6-31.
  18. Ordinola-Zapata R, Bramante CM, Graeff MS, del Carpio Perochena A, Vivan RR, Camargo EJ, Garcia RB, Bernardineli N, Gutmann JL, de Moraes IG. Depth and penetration of endodontic sealers into dentinal tubules after root canal obturation using a lateral compaction technique: a confocal laser scanning microscopy study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Sep;108(3):450-457.
  19. Nagas E, Uyanik MO, Eymirli A, Cehreli ZC, Vallittu PK, Lassila LV, Durmaz V. Dentin moisture conditions affect the adhesion of root canal sealers. J Endod 2012 Feb;38(2): 240-244.
  20. Ericson D. The concept of minimally invasive dentistry. Dent Update 2007 Jan-Feb;34(1):9-10, 12-14, 17-18.
  21. Murdoch-Kinch CA, McLean ME. Minimally invasive dentistry. J Am Dent Assoc 2003 Jan;134:87-95.
  22. Clark D, Khademi J. Modern molar endodontic access and directed dentin conservation. Dent Clin North Am 2010 Apr;54(2):249-273.
  23. FKG Catalogue/TotalFill®—Swiss Endo.
  24. Vertucci, FJ.; Haddix, J. Tooth morphology and access cavity preparation. In: Cohen S, Hargreaves KM, editors. Cohen's pathways of the pulp. Chapter 7. 10th ed. St. Louis (MO): Mosby Elsevier; 2011. pp. 153-239.
  25. Frater M, Forster A, Jantyik A, Braunitzer G, Nagy K, Grandini S. In vitro fracture resistance of premolar teeth restored with fibre-reinforced composite posts using a single or multi-post technique. Aust Endod J 2016 Apr;43(1):16-22.
  26. Ahmaduddin AS, Bolla N, Raj S, Mandava P, Nayak S. Effect of final irrigating solution on smear layer removal and penetrability of the root canal sealer. J Conserv Dent 2014 Jan-Feb;17(1):40-44.
  27. Sonu KR, Girish TN, Ponnappa KC, Kishan KV, Thameem PK. Comparative evaluation of dentinal penetration of three different endodontic sealers with and without smear layer removal—scanning electron microscopic study. Saudi Endod J 2016 Jan;6(1):16-20.
  28. Ruddle CJ. Focus on: minimally invasive endodontics. Dent Today 2014 Apr;33(4):14.
  29. Ozkocak I, Sonat B. Evaluation of effects on the adhesion of various root canal sealers after Er:YAG Laser and irrigants are used on the dentin surface. J Endod 2015 Aug;41(8): 1331-1336.
  30. Brunson M, Heilborn C, Johnson J, Cohenca N. Effect of apical preparation size and preparation taper on irrigant volume delivered by using negative pressure irrigation system. J Endod 2010 Apr;36(4):721-724.
  31. Khademi A, Yazdizadeh M, Feizianfard M. Determination if the minimum instrumentation size for penetration of irrigants to the apical third of root canal systems. J Endod 2006 May;32(5):417-420.
  32. Huang TY, Gulabivala K, Ng YL. A biomolecular film ex-vivo model to evaluate the influence of canal dimensions and irrigant variables on the efficacy of irrigation. Int Endod J 2008 Jan;41(1):60-71.
  33. Pasqualini D. Minimally invasive endodontics: a fancy trend or a clear road for the future? Int J Oral Dent Health 2015 Feb;1:1.
  34. Sauders WP, Saunders EM. Coronal leakage as a cause of failure in root-canal therapy: a review. Endod Dent Traumatol 1994 Jun;10(3):105-108.
  35. Swain MV, Xue J. State of the art of micro-CT applications in dental research. Int J Oral Sci 2009 Dec;1(4):177-188.
  36. Jung M, Lommel D, Klimek J. The imaging of root canal obturation using micro-CT. Int Endod J 2005 Sep;38(9):617-626.
  37. Pereira AC, Nishiyama CK, de Castro Pinto L, Singlecone obturation technique: a literature review. RSBO 2012 Oct-Dec;9(4):442-447.
  38. Zogheib C, Naaman A, Sigurdsson A, Medioni E, Bourbouze G, Arbab-Chirani R. Comparative micro-computed tomographic evaluation of two carrier-based obturation system. Clin Oral Investig 2013 Nov;17(8):1879-1883.
  39. Zogheib C, Hanna M, Pasqualini D, Naaman A. Quantitative volumetric analysis of cross-linked gutta-percha obturators. Ann Stomatol (Roma) 2016 Jan;7(3):46-51.
  40. Jeong JW, DeGraft-Johnson A, Dorn SO, Di Fiore PM, Dentinal tubule penetration of a calcium silicate-based root canal sealer with different obturation methods. J Endod 2017 Apr;43(4):633-637.
  41. McMichen FR, Pearson G, Rahbaran S, Gulabivala K. A comparative study of selected physical properties of five root canal sealers. Int Endod J 2003 Sep;36(9):629-635.
  42. Garrido AD, Lia RC, Franc SC, da Silva JF, Astofil-Filho S, Sousa-Neto MD. Laboratory evaluation of the physicochemical properties of a new root canal sealer based on Copaifera multijuga oil-resin. Int Endod J 2010 Apr;43(4):283-291.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.