Skip to main content

Advertisement

SpringerLink
Log in

Apical leakage in maxillary type IV premolars with three different endodontic treatments

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

The aim of this study was to evaluate the sealing ability in orthogradely filled, apicoectomised and retrogradely filled maxillary premolars with two canals and two separate apical foramina. The root canals of 51 extracted maxillary premolars of type IV were uniformly shaped and filled by means of lateral condensation and subsequently randomly divided into three groups of 17 teeth each. The teeth of groups II and III received an apicoectomy. In group III an additional retrograde seal (Ketac Fil) was applied. Group I served as control. All specimens were immersed in a methylene blue solution for 24 h. The teeth were cross-sectioned and the maximal dye-penetration was measured. The significantly least dye-penetration was observed in group II (apicoectomy only), followed by group I and group III. The differences among all groups were statistically significant (p<0.05). Most of the retrograde restorations in group III revealed circular colouration around the retrograde fillings extending to the gutta percha. Although the teeth of group II revealed the least dye-penetration, an apicoectomy cannot be favoured against an endodontic retreatment in maxillary premolars of type IV. The application of retrograde fillings using Ketac Fil must be considered critically.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.

Similar content being viewed by others

References

  1. Allen RK, Newton CW, Brown CE (1989) A Statistical analysis of surgical and nonsurgical endodontic retreatment cases. J Endod 15:261–266

    CAS  PubMed  Google Scholar 

  2. Allison DA, Webber CR, Walton RE (1979) The influence of the method of canal preparation on the quality of apical and coronal obturation. J Endod 5:298–304

    CAS  PubMed  Google Scholar 

  3. Barkhordar RA, Pelzner RB, Stark MM (1989) Use of glass ionomers as retrofilling materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 67:734–739

    CAS  Google Scholar 

  4. Barthel CR, Strobach A, Briedigkeit H, Gobel UB, Roulet JF (1999) Leakage in roots coronally sealed with different temporary fillings. J Endod 25:731–734

    CAS  PubMed  Google Scholar 

  5. Barthel CR, Zimmer S, West G, Roulet JF (2000) Bacterial leakage in obturated root canals following the use of different intracanal medicaments. Endod Dent Traumatol 16:282–286

    Article  CAS  PubMed  Google Scholar 

  6. Beatty RG, Vertucci FJ, Zakariasen KL (1986) Apikal sealing efficacy of endodontic obturation techniques. Int Endod J 19:237–241

    CAS  PubMed  Google Scholar 

  7. Brayton SM, Davis SR, Goldman M (1973) Gutta-percha root canal fillings. An in vitro analysis. I. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 35:226–231

    CAS  Google Scholar 

  8. Chong BS, Pitt Ford TR, Watson TF (1991) The adaptation and sealing ability of light-cured glass ionomer retrograde root fillings. Int Endod J 24:223–232

    CAS  PubMed  Google Scholar 

  9. Gasparini C (1994) Dichtigkeitsprüfungen thermoplastischer Wurzelfüllungen in geraden und gekrümmten Kanälen bei Zähnen mit weitem apikalen Foramen in vitro. Zahnmed Diss, Berlin

  10. Gencoglu N, Garip Y, Bas M, Samani S (2002) Comparison of different gutta percha root filling techniques: Thermafil, Quick-Fil, System B and lateral condensation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:333–336

    CAS  PubMed  Google Scholar 

  11. Goldman M, Simmonds S, Rush R (1989) The usefulness of dye-penetration studies reexamined. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 67:327–332

    CAS  Google Scholar 

  12. Gondim E, de Almeida Gomes BPF, Ferraz CCR, Teixeira FB, de Souza-Filho FJ (2002) Effect of Sonic and ultrasonic retrograde cavity preparation on the integrity of root apices of freshly extracted human teeth: scanning electron microscopy analysis. J Endod 28:646–650

    PubMed  Google Scholar 

  13. Green D, Brooklyn NY (1973) Double canals in single roots. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 35:689–696

    CAS  Google Scholar 

  14. Grung B, Molven O, Halse A (1990) Periapical surgery in a Norwegian country hospital: follow-up findings of 477 teeth. J Endod 16:411–417

    CAS  PubMed  Google Scholar 

  15. Kartal N, Özcelik B, Cimilli H (1998) Root canal morphology of maxillary premolars. J Endod 24:417–419

    CAS  PubMed  Google Scholar 

  16. Kersten, HW, Moorer WR (1989) Particles and molecules in endodontic leakage. Int Endod J 22:118–124

    CAS  PubMed  Google Scholar 

  17. Kvist T, Rydin E, Reit C (1989) The relative frequency of periapical lesion in teeth with root canal-retained posts. J Endod 15:578–580

    CAS  PubMed  Google Scholar 

  18. Mangin C, Yesilsoy C, Nissan R, Stevens R (2003) The comparative sealing ability of hydroxyapatite cement, mineral trioxide aggregate, and super ethoxybenzoic acid as root-end filling material. J Endod 29:261–264

    CAS  PubMed  Google Scholar 

  19. Nordenram A, Svärdström G (1970) Results of apicectomy. Svensk Tandläk Tidskr 63:593–604

  20. Olson AK, Mac Pherson G, Hartwell GR, Weller N, Kulild JC (1990) An in vitro evaluation of injectable thermoplasticized gutta-percha, glass ionomer, and amalgam when used as retrofilling materials. J Endod 16:361–364

    CAS  PubMed  Google Scholar 

  21. Rosales JI, Vallecillo M, Osorio R, Bravo M, Toledano M (1996) An in vitro comparison of micro leakage in three glass ionomer cements used as retrograde filling materials. Int Dent J 46:15–21

    CAS  PubMed  Google Scholar 

  22. Rud J, Andreasen JO, Möller-Jensen JE (1972) A follow-up study of 1000 cases treated by endodontic surgery. Int J Oral Surg 1:215–224

    CAS  PubMed  Google Scholar 

  23. Sutimuntanakul S, Worayoskowit W, Mangkornkarn C (2000) Retrograde seal in ultrasonically prepared canals. J Endod 26:444–446

    CAS  PubMed  Google Scholar 

  24. Tamse A (1998) Comparison of apical leakage shown by four different dyes with two evaluating methods. Int Endod J 31:333–337

    CAS  PubMed  Google Scholar 

  25. Tang HM, Torabinejad M, Kettering JD (2002) Leakage evaluation of root end filling materials using endotoxins. J Endod 28:5-7

    PubMed  Google Scholar 

  26. Vertucci F, Seelig A, Gillis R (1974) Root canal morphology of the human maxillary second premolar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 38:456–464

    CAS  Google Scholar 

  27. Zetterqvist L, Hall G, Holmlund A (1991) Apicectomy: a comparative study of amalgam and glass ionomer cement as apical sealants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 71:489–491

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dept. of Operative Dentistry and Periodontology, University School of Dental Medicine, University Clinic Benjamin Franklin, Freie Universität Berlin, Assmanshauser Str. 4-6, D-14197, Berlin, Germany

    K. Staribratova-Reister, J. P. Reister & A. M. Kielbassa

  2. Dept. of Operative Dentistry, Preventive Dentistry and Periodontology, University Clinic for Dentistry, Georg-August-University, Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Germany

    T. Attin

  3. Dept. Of Medical Informatics, Biometry and Epidemiology, University Clinic Benjamin Franklin, Freie Universität Berlin, Hindenburgdamm 30, 12200, Berlin

    P. Martus

Authors
  1. K. Staribratova-Reister
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. P. Reister
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Attin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Martus
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. M. Kielbassa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to K. Staribratova-Reister.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Staribratova-Reister, K., Reister, J.P., Attin, T. et al. Apical leakage in maxillary type IV premolars with three different endodontic treatments. Clin Oral Invest 7, 148–153 (2003). https://doi.org/10.1007/s00784-003-0224-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-003-0224-5

Keywords

Search

Navigation