Coronal sealing ability of three sectional obturation techniques – SimpliFill, Thermafil and warm vertical compaction – compared with cold lateral condensation and post space preparation

Abstract

The purpose of this study was to evaluate the effect post space preparation has on the coronal seal of root canals obturated with cold lateral condensation of gutta-percha compared with the corsonal sealing ability of three sectional obturation techniques not requiring post space preparation. Sixty-eight human maxillary central incisors were divided equally into four groups: cold lateral condensation (Group I), SimpliFill (Group II), Thermafil (Group III) and warm vertical compaction (Group IV). After coronal flaring, all four groups were cleaned and shaped with Lightspeed rotary instruments to a size 60 master apical rotary. After obturation Peeso Reamers were used to create a post space for Group I, while Groups 2, 3 and 4 incorporated the post space in the obturation (sectional technique) and did not require making a post space after obturation. The teeth were then stored in 100% humidity for 1 week and then kept in rhodamine B fluorescent dye for 3 weeks. The teeth were then split open, and the linear dye penetration from a coronal to apical direction (coronal seal) was evaluated with a fluorescent light microscope. Statistical analysis showed that Group I (cold lateral condensation followed by post space made with Peeso Reamers) leaked significantly more (P < 0.05) than the remaining three sectional obturation groups. It was concluded that stresses generated during post space preparation might be detrimental to the seal obtained by the obturation. Sectional obturations with their superior sealing ability offer a viable alternative.