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Comparative evaluation of three obturation techniques in primary incisors using digital intra-oral receptor and C.B.C.T—an in vitro study

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Abstract

Objectives

Successful pulpectomy in primary teeth depends on quality of obturation. It can be evaluated using digital intra-oral receptor (D.I.O.R) and cone beam computed tomography (C.B.C.T). The purposes of this study were to compare 3 different obturation techniques such as lentulospiral, insulin syringe, and endodontic plugger in primary incisors and to evaluate its quality of obturation using D.I.O.R and C.B.C.T technique.

Materials and methods

Thirty-three extracted primary incisors were biomechanically prepared and obturated with zinc oxide eugenol cement by 3 different obturation techniques. The obturation was evaluated for length of obturation and voids using D.I.O.R and C.B.C.T methods.

Results

There was a statistically significant difference between all the groups in length of obturation (P = 0.02) in both D.I.O.R and C.B.C.T. Significant differences (P = 0.03) were present in number of voids among 3 obturation techniques in C.B.C.T. Statistically more voids were observed with D.I.O.R in lentulospiral (P = 0.04) group and in insulin syringe (P = 0.02) group.

Conclusions

Acceptable result was obtained with lentulospiral in length of obturation compared to insulin syringe and endodontic plugger technique. Insulin syringe technique resulted in increased underfilling with least number of voids. More number of voids were seen in middle one-third and least number of voids were observed at apical one third of the root among all the 3 techniques of obturation. The study concluded that void identification is improved with D.I.O.R compared to C.B.C.T.

Clinical relevance

Lentulospiral reported effective length of obturation, while insulin syringe with least number of voids. D.I.O.R (2-Dimensional) is efficient in detecting voids compared to C.B.C.T (3-Dimensional) in obturated primary teeth.

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Funding

Funding was done by author Akhil Jose.

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Authors and Affiliations

  1. Department of Pedodontics and Preventive Dentistry, Sharavathi Dental College and Hospital, Shimoga, Karnataka, India

    Jose E. J. Akhil, Babaji Prashant & K. K. Shashibushan

Authors
  1. Jose E. J. Akhil
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  2. Babaji Prashant
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  3. K. K. Shashibushan
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Correspondence to Jose E. J. Akhil.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors. All applicable international, national, and/or institutional guidelines for the care and use of animals were followed. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Akhil, J.E.J., Prashant, B. & Shashibushan, K.K. Comparative evaluation of three obturation techniques in primary incisors using digital intra-oral receptor and C.B.C.T—an in vitro study. Clin Oral Invest 23, 689–696 (2019). https://doi.org/10.1007/s00784-018-2484-0

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  • DOI: https://doi.org/10.1007/s00784-018-2484-0

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