Abstract

The aim of the present study was to assess the penetration capacity of two endodontic cements, Endosequence BC Sealer and AH Plus, in artificial lateral canals. Twenty-six two-rooted, maxillary first premolars were instrumented to size 40.06 using K3 files. In each root, six lateral canals of two diameters (0.06 and 0.10 mm) were created with a working length of 2, 4, and 6 mm. The specimens were randomly divided into two groups according to the endodontic cement to be used (Endosequence BC Sealer and AH Plus) and obturated by the single-cone technique. The specimens were imaged by digital periapical radiography and scores from 0 to 4 were attributed according to the degree of penetration by sealers into the lateral canals. Data were analyzed statistically by Kruskal-Wallis and Student-Newman-Keuls tests, and a significance level of p < 0.05 was adopted. No significant difference was observed between the two endodontic cements used to fill the simulated lateral canals (p > 0.05). The diameter of lateral canals only influenced the capacity of the Endosequence BC Sealer in filling the canals, and presented greater penetration in the lateral canals of diameter 0.10 mm (p < 0.05). We concluded that the bioceramic endodontic cement Endosequence BC Sealer presented similar ability as AH Plus to fill simulated lateral canals.

Highlights

  • The anatomy of the root canal system is very complex because of the presence of isthmus and several ramifications

  • Previous studies reported a strong correlation between infection inside root canals and the presence of apical periodontitis.[3,4,5]

  • No significant difference was observed with respect to the filling of the lateral canals between AH Plus and Endosequence BC Sealer (p = 0.27)

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Summary

Introduction

The anatomy of the root canal system is very complex because of the presence of isthmus and several ramifications. The incidence of lateral canals is high (range 27.4–99%),[1,2] and they are clinically important because they may host pulp tissue and microorganisms.[3] Previous studies reported a strong correlation between infection inside root canals and the presence of apical periodontitis.[3,4,5] These ramifications complicate the action of instruments and irrigating solutions, and may influence failure after endodontic therapy.[4,6] Irrigating solutions, inter-appointment medication, and endodontic sealers may promote disinfection of these ramifications.[2,3,4,6].

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