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3D analyses of interface voids in root canals filled with different sealer materials in combination with warm gutta-percha technique

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Abstract

Objectives

The aim of the present study was to analyze the formation of voids and gaps in root canals obturated with different sealer materials in combination with warm gutta-percha vertical compaction technique by using BeeFill® 2in1.

Materials and methods

Twenty-four single-rooted teeth were collected, and root canals were prepared by using rotary files. All teeth were randomly allocated into three groups. Each group was obturated by using the BeeFill® 2in1 system in combination with Sealapex (non-eugenol, calcium hydroxide polymeric root canal sealer; Kerr Sybron, USA), RoekoSeal (polydimethylsiloxane-based sealer; Roeko, Germany), or 2Seal (epoxy-amine resin-based sealer; VDW, Germany). Following preparation, all teeth were scanned with a micro-computed tomography (CT) scanner, and a three-dimensional reconstruction of the obturated root canals was performed to analyze the volume of interface voids and gaps in the obturated teeth.

Results

Statistical analysis demonstrated that the silicon-based sealer RoekoSeal induced significantly less voids and gaps than other tested materials. The amount of voids and gaps significantly was higher in the apical region.

Conclusions

These data indicate that none of the root canal-filled teeth were free of gaps. Teeth obturated with RoekoSeal demonstrated to have the highest quality in terms of voids and gaps formation in combination with the BeeFill® 2in1 obturation system.

Clinical relevance

These findings point to the potential benefit of micro-CT analyses for in vitro evaluation of root canal obturation systems and provide further information about sealer materials used in combination with a warm gutta-percha vertical compaction technique.

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References

  1. Sundqvist G, Figdor D, Persson S et al (1998) Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:86–93

    Article  PubMed  Google Scholar 

  2. Barthel CR, Moshonov J, Shuping G et al (1999) Bacterial leakage versus dye leakage in obturated root canals. Int Endod J 32:370–375

    Article  PubMed  Google Scholar 

  3. van der Sluis LW, Wu MK, Wesselink PR (2005) An evaluation of the quality of root fillings in mandibular incisors and maxillary and mandibular canines using different methodologies. J Dent 33:683–688

    Article  PubMed  Google Scholar 

  4. Liang YH, Yuan M, Li G et al (2012) The ability of cone-beam computed tomography to detect simulated buccal and lingual recesses in root canals. Int Endod J 45:724–729

    Article  PubMed  Google Scholar 

  5. Wilson NH, Christensen GJ, Cheung SW et al (2004) Contemporary dental practice in the UK: aspects of direct restorations, endodontics and bleaching. Br Dent J 197:753–756

    Article  PubMed  Google Scholar 

  6. Akman S, Akman M, Eskitascioglu G et al (2012) The use of endodontically treated and/or fiber post-retained teeth as abutments for fixed partial dentures. Clin Oral Investig 16:1485–1491

    Article  PubMed  Google Scholar 

  7. Bodrumlu E, Tunga U (2007) Coronal sealing ability of a new root canal filling material. J Can Dent Assoc 73:623

    PubMed  Google Scholar 

  8. Bodrumlu E, Tunga U (2007) The apical sealing ability of a new root canal filling material. Am J Dent 20:295–298

    PubMed  Google Scholar 

  9. Epley SR, Fleischman J, Hartwell G et al (2006) Completeness of root canal obturations: Epiphany techniques versus gutta-percha techniques. J Endod 32:541–544

    Article  PubMed  Google Scholar 

  10. Michaud RA, Burgess J, Barfield RD et al (2008) Volumetric expansion of gutta-percha in contact with eugenol. J Endod 34:1528–1532

    Article  PubMed  Google Scholar 

  11. Ozok AR, van der Sluis LW, Wu MK et al (2008) Sealing ability of a new polydimethylsiloxane-based root canal filling material. J Endod 34:204–207

    Article  PubMed  Google Scholar 

  12. Silver GK, Love RM, Purton DG (1999) Comparison of two vertical condensation obturation techniques: Touch 'n Heat modified and System B. Int Endod J 32:287–295

    Article  PubMed  Google Scholar 

  13. Schilder H (2006) Filling root canals in three dimensions. 1967. J Endod 32:281–290

    Article  PubMed  Google Scholar 

  14. Souza EM, Wu MK, van der Sluis LW et al (2009) Effect of filling technique and root canal area on the percentage of gutta-percha in laterally compacted root fillings. Int Endod J 42:719–726

    Article  PubMed  Google Scholar 

  15. Pagavino G, Giachetti L, Nieri M et al (2006) The percentage of gutta-percha-filled area in simulated curved canals when filled using Endo Twinn, a new heat device source. Int Endod J 39:610–615

    Article  PubMed  Google Scholar 

  16. 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 

  17. Zogheib C, Naaman A, Medioni E et al (2011) Influence of apical taper on the quality of thermoplasticized root fillings assessed by micro-computed tomography. Clin Oral Investig

  18. Wu MK, de Schwartz FB, van der Sluis LW et al (2001) The quality of root fillings remaining in mandibular incisors after root-end cavity preparation. Int Endod J 34:613–619

    Article  PubMed  Google Scholar 

  19. Wu MK, Fan B, Wesselink PR (2000) Diminished leakage along root canals filled with gutta-percha without sealer over time: a laboratory study. Int Endod J 33:121–125

    Article  PubMed  Google Scholar 

  20. Gulsahi K, Cehreli ZC, Kuraner T et al (2007) Sealer area associated with cold lateral condensation of gutta-percha and warm coated carrier filling systems in canals prepared with various rotary NiTi systems. Int Endod J 40:275–281

    Article  PubMed  Google Scholar 

  21. Lea CS, Apicella MJ, Mines P et al (2005) Comparison of the obturation density of cold lateral compaction versus warm vertical compaction using the continuous wave of condensation technique. J Endod 31:37–39

    Article  PubMed  Google Scholar 

  22. Ozawa T, Taha N, Messer HH (2009) A comparison of techniques for obturating oval-shaped root canals. Dent Mater J 28:290–294

    Article  PubMed  Google Scholar 

  23. Tortini D, Grassi M, Re Cecconi D et al (2011) Warm gutta-percha obturation technique: a critical review. Minerva Stomatol 60:35–50

    PubMed  Google Scholar 

  24. Chohayeb AA, Tom C (1995) Comparison of thermoplasticized gutta-percha root canal obturation technique to the lateral condensation. NDA J 46:18–21

    PubMed  Google Scholar 

  25. Farzaneh M, Abitbol S, Lawrence HP et al (2004) Treatment outcome in endodontics—the Toronto Study. Phase II: initial treatment. J Endod 30:302–309

    Article  PubMed  Google Scholar 

  26. 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 

  27. Cathro PR, Love RM (2003) Comparison of MicroSeal and System B/Obtura II obturation techniques. Int Endod J 36:876–882

    Article  PubMed  Google Scholar 

  28. Kececi AD, Unal GC, Sen BH (2005) Comparison of cold lateral compaction and continuous wave of obturation techniques following manual or rotary instrumentation. Int Endod J 38:381–388

    Article  PubMed  Google Scholar 

  29. Robberecht L, Colard T, Claisse-Crinquette A (2012) 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 54:99–104

    Article  PubMed  Google Scholar 

  30. Gandolfi MG, Parrilli AP, Fini M et al (2012) 3D micro-CT analysis of the interface voids associated with Thermafil root fillings used with AH Plus or a flowable MTA sealer. Int Endod (in press)

  31. Mirfendereski M, Roth K, Fan B et al (2009) Technique acquisition in the use of two thermoplasticized root filling methods by inexperienced dental students: a microcomputed tomography analysis. J Endod 35:1512–1517

    Article  PubMed  Google Scholar 

  32. Kazemi RB, Safavi KE, Spangberg LS (1993) Dimensional changes of endodontic sealers. Oral Surg Oral Med Oral Pathol 76:766–771

    Article  PubMed  Google Scholar 

  33. Caicedo R, von Fraunhofer JA (1988) The properties of endodontic sealer cements. J Endod 14:527–534

    Article  PubMed  Google Scholar 

  34. Dandakis C, Kaliva M, Lambrianidis T et al (2005) An in vitro comparison of the sealing ability of three endodontic sealers used in canals with iatrogenic enlargement of the apical constriction. J Endod 31:190–193

    Article  PubMed  Google Scholar 

  35. Tronstad L, Barnett F, Flax M (1988) Solubility and biocompatibility of calcium hydroxide-containing root canal sealers. Endod Dent Traumatol 4:152–159

    Article  PubMed  Google Scholar 

  36. Hammad M, Qualtrough A, Silikas N (2008) Extended setting shrinkage behavior of endodontic sealers. J Endod 34:90–93

    Article  PubMed  Google Scholar 

  37. Kielbassa AM, Uchtmann H, Wrbas KT et al (2007) In vitro study assessing apical leakage of sealer-only backfills in root canals of primary teeth. J Dent 35:607–613

    Article  PubMed  Google Scholar 

  38. Donnelly A, Sword J, Nishitani Y et al (2007) Water sorption and solubility of methacrylate resin-based root canal sealers. J Endod 33:990–994

    Article  PubMed  Google Scholar 

  39. Oliver CM, Abbott PV (2001) Correlation between clinical success and apical dye penetration. Int Endod J 34:637–644

    Article  PubMed  Google Scholar 

  40. Huumonen S, Kvist T, Grondahl K et al (2006) Diagnostic value of computed tomography in re-treatment of root fillings in maxillary molars. Int Endod J 39:827–833

    Article  PubMed  Google Scholar 

  41. 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 

  42. 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 

  43. Liu N, Li X, Ye L et al (2012) A micro-computed tomography study of the root canal morphology of the mandibular first premolar in a population from southwestern China. Clin Oral Investig (in press)

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Acknowledgments

The authors thank Mrs. B. Schiermeyer and Mrs. A. Weber for their skilled technical assistance, Mrs. Orzel for revising the manuscript, and the Medical Faculty of the University of Bonn for funding our research project.

Conflict of interest

The authors declare that they have no conflict of interest.

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Correspondence to M. Frentzen.

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Wolf, M., Küpper, K., Reimann, S. et al. 3D analyses of interface voids in root canals filled with different sealer materials in combination with warm gutta-percha technique. Clin Oral Invest 18, 155–161 (2014). https://doi.org/10.1007/s00784-013-0970-y

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  • DOI: https://doi.org/10.1007/s00784-013-0970-y

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