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Comparative micro-computed tomographic evaluation of two carrier-based obturation systems

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Abstract

Objectives

The aim of the study was to measure the percentage of volume of voids and gaps in the apical third of root canals obturated with two techniques using micro-computed tomography.

Materials and methods

Fifty-four single-rooted teeth were collected and root canal-prepared. The roots were randomly allocated into two groups; each group was obturated by using thermoplasticized technique with a different material (gutta-percha and Topseal for Thermafil, Resilon and RealSeal for RealSeal 1). Roots were then scanned, and volume measurements for voids and gaps in the obturated roots were carried out using specialized CT software. Percentage of gaps and voids was calculated.

Results

The present study showed that none of the root canal-filled teeth was gap free. Student t test was conducted. No significant difference was found between Thermafil and RealSeal 1 concerning percentage of voids in the apical third (P > 0.05). Both materials showed statistically significant difference between the levels where 1 mm showed the highest volume of voids (P < 0.05).

Conclusions

Both carrier-based techniques allowed a good sealing ability in root canals but none of the materials was gap free. Statistically significant difference between the levels was found and 1 mm showed the highest volume of voids.

Clinical relevance

This study shows the efficiency of carrier-based obturation systems in filling root canals hermetically. It compares new adhesive endodontic materials with the traditional gold standard gutta-percha. Results show the good sealing ability of both techniques making them appropriate to use in daily endodontic obturations.

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References

  1. Huybrechts B, Bud M, Bergmans L, Lambrechts P, Jacobs R (2009) Void detection in root fillings using intraoral analogue, intraoral digital and cone beam CT images. Int Endod J 42:675–685

    Article  PubMed  Google Scholar 

  2. Hammad M, Qualtrough A, Silikas N (2009) Evaluation of root canal obturation: a three dimensional in vitro study. J Endod 35:541–544

    Article  PubMed  Google Scholar 

  3. Schilder H (1967) Filling root canals in three dimensions. Dent Clin N Am 11:723–744

    Google Scholar 

  4. DuLac K, Nielsen C, Tomazic T, Ferrillo P, Hatton J (1999) Comparison of the obturation of lateral canals by six techniques. J Endod 5:376–380

    Article  Google Scholar 

  5. Weller RN et al (1997) A comparison of thermoplastic obturation techniques: adaptation to the canal walls. J Endod 23:703–706

    Article  PubMed  Google Scholar 

  6. Becker TA et al (1997) Thermafil obturation: a literature review. Gen Dent 45:46–55

    PubMed  Google Scholar 

  7. Sutow E, Foong W, Zakariasen K, Hall G, Jones D (1999) Corrosion and cytotoxicity evaluation of Thermafil endodontic obturator carriers. J Endod 8:562–566

    Article  Google Scholar 

  8. Marlin J, Schilder H (1973) Physical properties of gutta-percha when subjected to heat and condensation. Oral Surg Oral Med Oral Pathol 36:872

    Article  PubMed  Google Scholar 

  9. Marciano J, Michailesco PM (1989) Dental gutta-percha chemical composition, X-ray identification, enthalpic studies and clinical applications. J Endod 11:149–153

    Article  Google Scholar 

  10. Shipper G, Teixeira FB, Trope M (2004) An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 30:342–347

    Article  PubMed  Google Scholar 

  11. Teixeira FB, Arnold R, Trope M (2005) Periapical inflammation after coronal microbial inoculation of dog roots filled with gutta-percha or Resilon. J Endod 31:91–96

    Article  PubMed  Google Scholar 

  12. Tay FR, Hiraishi N, Pashley DH, Loushine RJ, Weller N, Gillespie WT, Doyle MD (2006) Bondability of resilon to a methacrylate-based root canal sealer. J Endod 32:133–137

    Article  PubMed  Google Scholar 

  13. Kqiku L, Stadtler P, Gruber HJ, Baraba A, Anic I, Miletic I (2011) Active versus passive microleakage of Resilon/Epiphany and gutta-percha/AH Plus. Aust Endod J 37(3):141–146

    Article  PubMed  Google Scholar 

  14. Jung M, Lommel D, Klimek J (2005) The imaging of root canal obturation using micro-CT. Int Endod J 38:617–626

    Article  PubMed  Google Scholar 

  15. Dowker SE, Davis GR, Elliott JC (1997) X-ray microtomography: nondestructive threedimensional imaging for in vitro endodontic studies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 83:510–516

    Article  PubMed  Google Scholar 

  16. Swain MV, Xue J (2009) State of the art of micro-CT applications in dental research. Int J Oral Sc 1:177–188

    Article  Google Scholar 

  17. Farea M, Masudi S, Wan Bakar WZ (2010) Apical microleakage evaluation of system B compared with cold lateral technique: in vitro study. Aust Endod J 36:48–53

    Article  PubMed  Google Scholar 

  18. Whitworth J (2005) Methods of filling root canals: principles and practice. Endod Top 12:2–24

    Article  Google Scholar 

  19. Lares C, Eldeeb M (1990) The sealing ability of the Thermafil obturation technique. J Endod 16:474–479

    Article  PubMed  Google Scholar 

  20. De-Deus G, Brandao MC, Fidel RA, Fidel SR (2007) The sealing ability of GuttaFlow in ovalshaped canals: an ex vivo study using a polymicrobial leakage model. Int Endod J 40:794–799

    Article  PubMed  Google Scholar 

  21. Wu M-K, van der Sluis LWM, Wesselink PR (2002) A preliminary study of the percentage of the gutta-percha-filled area in the apical canal filled with vertically compacted warm gutta-percha. Int Endod J 35:527–535

    Article  Google Scholar 

  22. Goldberg F, Artaza LP, De Silvio A (2001) Effectiveness of different obturation techniques in the filling of simulated lateral canals. J Endod 27:362–364

    Article  PubMed  Google Scholar 

  23. Epley S, Fleischman J, Hartwell G, Cicalese C (2006) Completeness of root canal obturations: epiphany techniques versus gutta-percha techniques. J Endod 32:541–555

    Article  PubMed  Google Scholar 

  24. Gulsahi K, Cehreli ZC, Onay EO, Tasman-Dagli F, Ungor M (2007) Comparison of the area of resin-based sealer and voids in roots obturated with Resilon and gutta-percha. J Endod 33:1338–1341

    Article  PubMed  Google Scholar 

  25. Elayouti A, Achleithner C, Lost C, Weiger R (2005) Homogeneity and adaptation of a new gutta-percha paste to root canal walls. J Endod 31:687–690

    Article  PubMed  Google Scholar 

  26. James BL, Brown CE, Legan JJ, Moore BK, Vail MM (2007) An in vitro evaluation of the contents of root canals obturated with gutta percha and AH-26 sealer or Resilon and Epiphany sealer. J Endod 33:1359–1363

    Article  PubMed  Google Scholar 

  27. Nielsen RB, Alyassin AM, Peters DD et al (1995) Microcomputed tomography: an advanced system for detailed endodontic research. J Endod 21:561–568

    Article  PubMed  Google Scholar 

  28. Hammad M, Qualtrough A, Silikas N (2008) Three-dimensional evaluation of effectiveness of hand and rotary instrumentation for retreatment of canals filled with different materials. J Endod 34:1370–1373

    Article  PubMed  Google Scholar 

  29. Barletta FB, Rahde Nde M, Limongi O, Moura AA, Zanesco C, Mazocatto G (2007) In vitro comparative analysis of 2 mechanical techniques for removing gutta-percha during retreatment. J Can Dent Assoc 73:65

    PubMed  Google Scholar 

  30. Endal U, Shen Y, Knut A, Gao Y, Haapasalo M (2011) A high-resolution computed tomographic study of changes in root canal isthmus area by instrumentation and root filling. J Endod 37:223–227

    Article  PubMed  Google Scholar 

  31. Zogheib C, Naaman A, Medioni E, Arbab-Chirani R (2012) Influence of apical taper on the quality of thermoplasticized root fillings assessed by micro-computed tomography. Clin Oral Investig 16(5):1493–1498

    Article  PubMed  Google Scholar 

  32. Zaslansky P, Fratzl P, Rack A, Wu MK, Wesselink PR, Shemesh H (2011) Identification of root filling interfaces by microscopy and tomography methods. Int Endod J 44(5):395–401

    Article  PubMed  Google Scholar 

  33. Somma F, Cretella G, Carotenuto M et al (2011) Quality of thermoplasticized and single point root fillings assessed by micro-computed tomography. Int Endod J 44(4):362–369

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by a grant from the Saint Joseph University, Beirut, Lebanon. The authors wish to thank Sybron Endo Europe and Dentsply, Maillefer, Switzerland for providing the tested materials.

Conflicts of interest

The authors declare that they have no conflict of interest or any financial relationship with the organizations that sponsored the research.

Author information

Authors and Affiliations

  1. School of Dentistry, Department of Endodontics, Saint-Joseph University, Beirut, Lebanon

    Carla Zogheib & A. Naaman

  2. Eastman College of Dentistry, UCL, London, UK

    A. Sigurdsson

  3. School of Dentistry, Sophia Antipolis University, Nice, France

    E. Medioni

  4. Centre of Technological Resources (CRT), Morlaix, France

    G. Bourbouze

  5. School of Dentistry, Bretagne Occidentale University/CHRU-Odontology, Brest, France

    R. Arbab-Chirani

  6. Laboratory of Medical Information Treatment, LaTIM-INSERM 1101, Brest, France

    R. Arbab-Chirani

Authors
  1. Carla Zogheib
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  2. A. Naaman
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  3. A. Sigurdsson
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  4. E. Medioni
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  5. G. Bourbouze
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  6. R. Arbab-Chirani
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Corresponding author

Correspondence to Carla Zogheib.

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Zogheib, C., Naaman, A., Sigurdsson, A. et al. Comparative micro-computed tomographic evaluation of two carrier-based obturation systems. Clin Oral Invest 17, 1879–1883 (2013). https://doi.org/10.1007/s00784-012-0875-1

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  • DOI: https://doi.org/10.1007/s00784-012-0875-1

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