Penetration Of Root Canal Sealers Research Articles

Evaluation of the efficacy of different irrigation activation techniques in removing of calcium hydroxide on teeth with the simulated internal root resorption cavity: a confocal laser scanning microscope analysis.

The aim of this study is to evaluate the effect of different irrigation activation methods on root canal sealer penetration in teeth with simulated internal root resorption (IRR) and calcium hydroxide (CH) applied using a confocal laser scanning microscope (CLSM). 60 incisors with a single root and a single canal were included in the study. IRR cavities were created in the middle third of the root canal, and CH was placed. The samples were randomly divided into 4 groups (n = 15) according to the irrigation activation method to be tested: standard needle irrigation (SNI), sonic activation (EDDY), photon-induced photoacoustic flow (PIPS), and shock wave enhanced emission photoacoustic flow (SWEEPS). After irrigation activation applications, the root canals were obturated. Sections of 1.0 ± 0.1mm were taken from the apical, middle, and coronal regions of each sample. The penetration area (µm2) and maximum penetration depth (µm) of the root canal sealer were examined by CLSM and analyzed using ImageJ software. Statistical analysis was performed with a one-way ANOVA and post-hoc Tukey test at the P < 0.05 significance level. Among all irrigation activation methods tested, both the penetration area and maximum penetration depth of the root canal sealer were greater in the coronal region than in the apical region (p < 0.05). In the IRR region, there was no difference in terms of maximum penetration depth between PIPS and SWEEPS (p > 0.05), it was highest in SWEEPS (p < 0.05). PIPS and SWEEPS were better than other irrigation activation methods in the penetration of root canal sealer in the resorption areas of teeth with IRR.

Effect of different sealer activation techniques on dentinal tubule penetration.

The aim of this study was to evaluate the influence of different activation techniques on dentin tubule penetration of root canal sealer. Seventy-five teeth with single canals were chemomechanically prepared. A calcium silicate-based sealer was stained with a fluorescent dye (rhodamine B), placed into the canals and activated according to the following groups: control (no activation), EDDY, EndoActivator, ultrasonic and XP-Endo Finisher. Then, the samples were obturated. The percentages of sealer penetration at various depth levels of root sections were measured with confocal laser scanning microscopy. XP-Endo Finisher presented the highest penetration at 50 μm (p < 0.05). XP-Endo Finisher showed similar penetration with EDDY at 100 and 200 μm (p > 0.05) while presented higher penetration than the other groups (p < 0.05). At 500 μm, XP-Endo Finisher presented higher penetration than EndoActivator (p < 0.05) while similar penetration with the other groups (p > 0.05). XP-Endo Finisher can be recommended for activation during sealer placement for better penetration into dentin tubules.

Confocal Laser Scanning Microscopic Evaluation of Sealer Penetration in Root Canals of Teeth with the butterfly and Non-butterfly Effect: An In vitro Study

AIM: The study aimed to investigate the penetration depth of calcium hydroxide-based root canal sealer into buccolingual and mesiodistal aspects of roots with and without the butterfly effect at coronal and middle root sections.&#x0D; METHODS AND MATERIALS: Twenty single-rooted maxillary premolars were decoronated at the cementoenamel junction and viewed under a light microscope and grouped as Group 1 – butterfly (B) and Group 2 – non-butterfly according to the presence or absence of the effect. Canals were prepared till working length followed with copious irrigation. Canals were finally rinsed with 5 ml of 17% ethylenediaminetetraacetic acid solution and activated using EndoActivator followed by obturation using gutta-percha (warm vertical compaction technique) with Sealapex sealer. To provide fluorescence for confocal laser scanning microscopy (CLSM), the Sealapex was mixed with rhodamine B dye. Root sectioning yielded coronal and middle sections. CLSM was used to assess the penetration of the sealer.&#x0D; STATISTICAL ANALYSIS: Shapiro–Wilk test, unpaired “t-test.”&#x0D; RESULTS: Teeth with the butterfly effect had greater mean penetration buccolingually (905.2 μm) than mesiodistally (182.1 μm; p &lt; 0.001). Coronal sections had greater penetration (517.4 μm) compared with the middle (354.6 μm).&#x0D; CONCLUSION: Sealapex sealer exhibited maximum tubular penetration in teeth with butterfly effect in buccolingual direction at the coronal third level.

Influence of Different Types of Root Canal Irrigation Regimen on Resin-based Sealer Penetration and Pushout Bond Strength.

IntroductionThe main objective of root canal treatment is to eliminate the micro-organism from the root canal system and three-dimensional obturation. The proper cleaning and shaping can be accomplished only by using appropriate instruments and effective irrigants during the root canal treatment.AimTo evaluate the influence of three different final irrigation regimen on depth of penetration of root canal sealers and push-out bond strength of obturation material.Materials and methodsThirty-six extracted single-rooted mandibular premolar human teeth with straight canals were decoronated and instrumented according to groups. Group I: Root canals were irrigated with 3% sodium hypochlorite (NaOCl), then irradiated with 980 nm diode laser (n = 12), Group II: Root canals were irrigated with 3% NaOCl, followed by 17% ethylenediaminetetraacetic acid (EDTA) (n = 12), Group III: Root canals were irrigated with 3% NaOCl, followed by 10% citric acid (n = 12). In each sample, single cone obturation was done with gutta-percha using AH plus sealer incorporated with rhodamine B dye. After seven days coronal, middle and apical thin cross sections were made for evaluation of dentinal tubule sealer penetration depth and pushout bond strength using confocal laser scanning microscope (CLSM) and universal testing machine, respectively. Statistical analysis among the three groups was done by using Kruskal-Wallis and post hoc test.ResultsMean tubular penetration depth between diode laser (136.57 ± 48 µm), EDTA (130.56 ± 53 µm) and citric acid (113.37 ± 34 µm; P < 0.05) showed statistically highly significant results. Pushout bond strength did not differ significantly between diode laser (1.21 ± 0.48 Mpa), EDTA (1.05 ± 0.45 Mpa) and citric acid (0.93 ± 0.44 Mpa; P > 0.05).ConclusionMean tubular penetration depth of AH plus sealer was better in diode laser than in EDTA and citric acid. Average push-out bond strength of obturation material did not differ significantly between diode laser, EDTA and citric acid.

Dentinal tubule penetration of endodontic sealers after nonthermal plasma treatment: A confocal laser scanning microscopy study.

One of the factors affecting the success of endodontic treatment is to fill the root canal system hermetically. The aim of this in vitro study was to evaluate the effect of nonthermal plasma (NP) on dentinal tubule penetration of root canal sealers using confocal laser scanning microscopy. Forty mandibular premolar teeth were selected and the root canals were prepared with large-Waveone-Gold rotary-files. Specimens were divided into four experimental groups according to sealer and NP treatment (n = 10). G1: AH-Plus (AH) G2: nonthermal plasma application + AH-Plus(AH-P) G3: Endosequence-BC(BC) G4: nonthermal plasma application + Endosequence-BC(BC-P). Cold lateral-condensation technique was used for the obturation of root canals. The roots were sectioned horizontally and the sections were examined under confocal laser scanning microscopy. The maximum tubule penetration and percentage of penetration values were obtained from the microscopy images and were statistically analyzed with repeated measurements-ANOVA and the Tukey (HSD) test (p < 0.05). The percentages of dentinal tubule penetration of the groups were not statistically different. The maximum tubule penetration of the AH-P was statistically lower than that of the BC-P (p < 0.05). Plasma application had no affect on the percentage of dentinal tubule penetration. Under the conditions of this in vitro Endosequence-BC sealer showed higher maximum tubule penetration values than AH-Plus after NP treatment. Percentage of dentinal tubule penetration values of experimental groups was similar.

Evaluation of dentinal tubule penetration depth and push-out bond strength of AH 26, BioRoot RCS, and MTA Plus root canal sealers in presence or absence of smear layer.

Background. This study compared the effect of smear layer on the penetration depth and push-out bond strength of various root canal sealers. Methods. A total of 90 extracted human mandibular premolars were assigned into 2 groups: smear layer preserved and smear layer removed. Then the roots were further divided into 3 subgroups according to the sealer tested: AH 26, BioRoot RCS and MTA Plus. Obturation was performed with gutta-percha and the relevant sealer was mixed with 0.1% rhodamine B. Three 1-mm-thick slices were obtained from the mid-third area of each root. Two slices were selected for the push-out test and the remaining slice was used to calculate the dentinal tubule penetration depth and percentage. Results. The retention of MTA Plus and BioRoot RCS was higher than that of AH 26 when the smear layer was preserved (P<0.05). BioRoot RCS showed the lowest penetration depth when the smear layer was removed (P<0.05). Conclusion. Dentinal tubule penetration of root canal sealers had a limited effect on their adhesion to root canal wall.

Push-out bond strength and dentinal tubule penetration of different root canal sealers used with coated core materials

ObjectivesThe aim of this study was to compare the push-out bond strength and dentinal tubule penetration of root canal sealers used with coated core materials and conventional gutta-percha.Materials and MethodsA total of 72 single-rooted human mandibular incisors were instrumented with NiTi rotary files with irrigation of 2.5% NaOCl. The smear layer was removed with 17% ethylenediaminetetraacetic acid (EDTA). Specimens were assigned into four groups according to the obturation system: Group 1, EndoRez (Ultradent Product Inc.); Group 2, Activ GP (Brasseler); Group 3, SmartSeal (DFRP Ltd. Villa Farm); Group 4, AH 26 (Dentsply de Trey)/gutta-percha (GP). For push-out bond strength measurement, two horizontal slices were obtained from each specimen (n = 20). To compare dentinal tubule penetration, remaining 32 roots assigned to 4 groups as above were obturated with 0.1% Rhodamine B labeled sealers. One horizontal slice was obtained from the middle third of each specimen (n = 8) and scanned under confocal laser scanning electron microscope. Tubule penetration area, depth, and percentage were measured. Kruskall-Wallis test was used for statistical analysis.ResultsEndoRez showed significantly lower push-out bond strength than the others (p < 0.05). No significant difference was found amongst the groups in terms of percentage of sealer penetration. SmartSeal showed the least penetration than the others (p < 0.05).ConclusionsThe bond strength and sealer penetration of resin-and glass ionomer-based sealers used with coated core was not superior to resin-based sealer used with conventional GP. Dentinal tubule penetration has limited effect on bond strength. The use of conventional GP with sealer seems to be sufficient in terms of push-out bond strength.

Adaptation and penetration of resin-based root canal sealers in root canals irradiated with high-intensity lasers.

This research analyzed the quality of resin-based sealer adaptation after intracanal laser irradiation. Extracted teeth (n = 168) were root canal treated and divided into four groups, according to dentin surface treatment: no laser; Nd:YAG laser (1.5 W, 100 mJ, 15 Hz); diode laser (2.5 W in CW), and Er:YAG laser (1 W, 100 mJ, 10 Hz). The teeth were divided into four subgroups according to the sealer used: AH Plus, EndoREZ, Epiphany, and EpiphanySE. For testing the sealing after root canal obturation, the penetration of silver nitrate solution was measured, whereas to evaluate the adaptation and penetration of the sealer into the dentin, environmental scanning electron microscopy (ESEM) was used. The ESEM images were analyzed using a four-grade criteria score by three evaluators. The inter-examiner agreement was confirmed by Kappa test and the scores statistically compared by the Kruskal-Wallis' test (p < 0.05). Both adaptation and sealer penetration in root canals were not affected by the laser irradiation. Nd:YAG and diode laser decreased the tracer penetration for AH Plus, whereas EndoREZ and EpiphanySE performances were affected by Nd:YAG irradiation (p < 0.05). It can be concluded that intracanal laser irradiation can be used as an adjunct in endodontic treatment; however, the use of hydrophilic resin sealers should be avoided when root canals were irradiated with Nd:YAG laser.

Effect of Peracetic Acid as A Final Rinse on Push Out Bond Strength of Root Canal Sealers to Root Dentin.

Smear layer which was formed during the instrumentation of root canals hinders the penetration of root canal sealers to root dentin and affect the bond strength of root canal sealers to root dentin. Final irrigant such as demineralizing agents are used to remove the inorganic portion of the smear layer. In the present study, peracetic acid used as a final rinse, to effect the bond strength of root canal sealers to root dentin. The purpose of the present study was to evaluate the efficacy of peracetic acid as a final irrigant on bond strength of root canal sealers to root dentin. Sixty six freshly extracted human single rooted mandibular premolars were used for this study. After decoronation the samples were instrumented with Protaper upto F3 and irrigated with 5.25% NaOcl. The teeth were then divided into three groups based on final irrigant used: Group-1(control group) Canals were irrigated with distilled water. Group-2: Canals were irrigated with peracetic acid. Group-3: Canals were irrigated with smear clear. Each group was further divided into three subgroups (n=30) based on the sealer used to obturate the canals. Subgroup-1: kerr, Subgroup-2: Apexit plus, Subgroup-3: AH PLUS. Each sealer was mixed and coated to master cone and placed in the canal. The bonding between sealer and dentin surface was evaluated using push out bond strength by universal testing machine. The mean bond strength values of each group were statistically evaluated using Two-way ANOVA followed by Tukey post-hoc test. Significant difference was found among the bond strength of the sealers. But, there is no statistically significant difference between the groups irrigated with peracetic acid and smear clear compared to control group. AH Plus showed highest bond strength irrespective of the final irrigant used. Peracetic acid when employed as final irrigant improved the bond strength of root canal sealers compared to control group but not statistically significant than smear clear.

Evaluation of canal cleanliness and tubular penetration of root canal sealers in extracted primary second molars: a SEM study

Objectives: To evaluate canal surface changes and the remaining debris/smear after canal preparation, and the subsequent penetration of root canal sealers into dentinal tubules in extracted primary second molars, using scanning electron microscopy (SEM). Materials and Methods: The widest roots of 120 recently extracted human primary second molars were used. The roots were randomly distributed into four groups, according to instrumentation techniques [conventional stainless-steel hand files / nickel-titanium (Ni-Ti) rotary files] and irrigation solutions [0.5% sodium hypochlorite (NaOCl) and 0.9% saline solution/0.4% chlorhexidine gluconate (CHX)] employed. Surface change, the debris/smear layer remaining after instrumentation/irrigation, and the tubular penetration of root canal sealers [zinc oxide and eugenol (ZOE)/Apexit Plus (AP)] were evaluated using SEM. All data were analyzed statistically using the Kruskal-Wallis and Mann-Whitney U tests. Results: No significant difference was found between the surface changes and debris/smear layer scores based on root canal preparation technique and irrigant solution (P>0.05). ZOE cement was unable to enter dentinal tubules, while AP-based calcium hydroxide was able to gain limited entry to the tubules of some roots, but not others. Conclusions: No differences in canal cleanliness were noted among the instrumentation and irrigant protocols evaluated. AP was found in this SEM study to penetrate the dentinal tubules of prepared primary molar root canals more effectively than ZOE; though, penetration with AP was not noted in every root canal.

A preliminary study of the percentage of sealer penetration in roots obturated with the Thermafil and RealSeal-1 obturation techniques in mesial root canals of mandibular molars

The aim of this study was to evaluate the percentage of sealer penetration in root canals filled with the Thermafil or RealSeal-1 systems analyzed by confocal laser scanning microscopy (CLSM). Twenty canals in 10 mesial roots of mandibular molars were cleaned and shaped using ProTaper and ProFile instruments to a size 35 and .04 taper at the apex and filled using RealSeal-1 or Thermafil systems in the mesial canal of each root. Horizontal sections were made at the 3 and 5 mm levels from the apex, and the percentage of sealer penetration in the root canal walls was analyzed using CLSM. Thin layers of sealer (2-30 microm) and sealer tags into dentinal tubules were found in the root canal walls in a high percentage using both techniques at both evaluated levels, with no statistical differences between the techniques (Student t test: P > .05). The percentage of sealer penetration in the root canal walls was similar using both thermoplastic carriers based systems.

Influence of the filling technique on depth of tubular penetration of root canal sealer: a scanning eletron microscopy study

Abstract The purpose of this study was to compare the depth of tubular dentinalpenetration of sealer in three filling techniques. Seventy two teeth max-illary central incisors were instrumented and randomly divided in threegroups A, B and C and obturated as following: A: lateral condensation;B: single cone technique and C: warm vertical compaction of gutta-percha. Each sample was sectioned longitudinally and prepared for SEManalysis. The results revealed a depth of tubular penetration varyingfrom 19 to 81mm, presenting an average post of 34 ± 16mm for G1; 26to 101mm, presenting an average post of 44 ± 28mm for G2 and 22 to188mm, presenting an average post of 67 ± 37mm for G3. A non-para-metric ANOVA Kruskall-Wallis was used to determine whether therewere significant differences among the groups, which identified signifi-cant differences between G3 and G1 (P = 0.021) and between G3 and G2(P = 0.009). There were no significant differences between G1 and G2 ( P> .05). The samples filled by warm vertical compaction of gutta-perchapresented significantly deeper tubular sealer penetration than lateralcondensation and single cone techniques.

Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide

The purpose of this study was to evaluate the dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide (Ca(OH)2). Forty-two single-rooted teeth were instrumented to size 60. Six teeth served as the control group, and the remaining teeth were assigned to two groups. Root canals of the first group were filled with the Ca(OH)2 paste; the second group was filled with TempCanal, and all were incubated for 7 days. The samples were either irrigated with only NaOCl or with EDTA, followed by NaOCl to remove Ca(OH)2. All of the teeth were obturated with CRCS, AH26, and Ketac Endo by a lateral condensation technique. The specimens were then kept at the same conditions for another 7 days, and then all of the roots were prepared for scanning electron microscopic evaluation. Scanning electron microscopic examination revealed that Ca(OH)2 was not completely removed from the root canal surfaces, and root canal sealers did not penetrate into the dentinal tubules when only NaOCl was used. EDTA followed by NaOCl irrigation resulted in complete removal of Ca(OH)2 and root canal sealers penetrated into the dentinal tubules.