Tubliseal Sealer Research Articles

The efficacy of retreatment and new reciprocating systems in removing a gutta-percha-based filling material.

ObjectivesTo investigate the efficacy of retreatment and reciprocating rotary systems in removing gutta-percha filling material from root-canal systems.MethodsA total of 90 single-canal human teeth were instrumented using a F3 ProTaper file and obturated with gutta-percha and the Tubliseal sealer using the lateral-compaction technique. They were divided into five groups according to the rotary system used to remove the filling material: Reciproc, which used the Reciproc-R25 file; WaveOne, which used the WaveOne-Primary file; S1, which used the S1 (25/.06) file; ProTaper-R, which used the ProTaper-Retreatment system; and Mtwo-R, which used the Mtwo®-Retreatment system. The time required to remove the filling material (min) and the associated instrument separation, if any, were recorded. Teeth were cleaved longitudinally and photographed with a high-resolution camera. Images were imported to the AutoCAD application to measure the remaining filling material and the root-canal space. Data were analysed using the one-way analysis of variance and Chi-squared tests.ResultsThe Mtwo-R group showed the highest mean remaining filling material (51%) (p < 0.001), with no significant differences among the other groups. The ProTaper group required the least time for filling-material removal (4.95 min), with significant differences compared to the other groups (p < 0.05), except the WaveOne group (5.83 min; p = 1.000). Overall, 13 instruments (15.9%) were used for filling-material removal, with a significantly greater proportion in the Mtwo-R group (33.3%) compared to the other groups (p = 0.009).ConclusionsWithin the limitations of this in vitro study, reciprocating rotary systems were as effective as retreatment rotary systems in removing root-canal filling material. The Mtwo-R system showed the poorest performance with respect to removal effectiveness and instrument separation.

Comparison of efficiency of manual(H-Files) and two rotary niti retreatment systems(Mtwo R files and HyFlex NT files) in removing Gutta-percha from root canals obturated with two different sealers by using stereomicroscope - An in vitro study

Objectives: The aim of this study was to compare manual and two nickel titanium (NiTi) rotary retreatment systems in removing gutta-percha obturated with two different sealers. Materials and Methods: Sixty extracted, human, single-rooted mandibular premolars were selected. Endodontic treatment was performed using ProTaper Universal NiTi rotary instruments. Half of the samples were obturated with Tubliseal and remaining half were obtutared with AH Plus sealer with cold lateral compaction method. Subsequently, twenty teeth were retreated with manual retreatment system, and each twenty teeth was retreated with two different rotary retreatment systems. The roots were then grooved longitudinally, and both root halves were subjected to assessment under stereomicroscope, and images were taken with a digital camera. These images were evaluated for residual obturating material using AutoCAD software. Analysis of variance test and Bonferroni multiple comparison test were used for statistical analysis. Results and Conclusion: Results of the present study showed that no system was able to completely remove all debris from the root canals. The minimum amount of debris was seen in the group obturated using Tubliseal sealer and retreated with Hyflex NT retreatment system followed by Mtwo retreatment system and finally the manual retreatment protocol. Regarding the time taken, Mtwo retreatment files took least time to remove the obturating material in all sealer groups.

Fracture resistance of root filled teeth with different obturating materials – An ex vivo evaluation

Objectives – This study was undertaken to compare the fracture resistance of root filled teeth with four different obturating materials. Study design : Fifty freshly extracted human maxillary central incisor teeth with similar dimension were selected . Crowns were sectioned at the cementoenamel junction, and the length of the roots were adjusted to 13 mm. Following the preparation of the root canals and final irrigation with EDTA and saline, 15 root canals in group I were filled with Resilon cones and Epiphany sealer, 15 root canals in group II were filled with Gutta-percha and AH Plus, 15 root canals in group III were filled with Gutta-percha and Tubliseal Sealer and 15 root canals were filled with Gutta-percha and Sealapex Sealer. All materials were used with a cold lateral condensation technique. Tests for fracture strength were performed using a universal testing machine and a round tip that had a diameter of 4 mm. The force was applied vertically with a constant speed of 1 mm/min. For each root, the force at the time of fracture was recorded in Newtons. Results were evaluated statistically with ANOVA and Tukey Honestly Significant Difference (HSD) tests. Results : The mean force of fracture values was 738.15N,650.82N,575.39N and 551.41N for groups I,II,III and IV respectively. There was a significant difference (p<0.01) between the groups. Group I showed the highest fracture resistance as compared to group II and group III and group IV showed similar result. Conclusions: It was concluded that Resilon and Epiphany combination showed the highest fracture resistance followed by Gutta percha and AH Plus . Gutta percha and Tubliseal & Gutta percha and Sealapex showed the similar strength.

Cytotoxicity evaluation of Gutta Flow and Endo Sequence BC sealers

This study evaluated the cytotoxicity of GuttaFlow and EndoSequence BC sealers and compared them with AH Plus and Tubli-Seal sealers. Samples (0.5 mg) of freshly mixed or set BC, GuttaFlow, AH Plus, and Tubli-Seal sealers were eluted with 300, 600, and 1,000 μL cell culture medium for 24 and 72 hours. L929 cells were seeded into 96-well plates at 3 × 10(4) cells/well and cultured with 100 μL eluate from each eluate group. Cells cultured only with culture medium served as control. After 24 hours' incubation, the cytotoxicity was evaluated by MTT assay. Cell viability was calculated as the percentage of the control group, and the results were analyzed with a one-way analysis of variance. For the freshly mixed sealer, cell viability in the AH Plus group was less than in all of the other 3 sealer groups. The Tubli-Seal sealer group had less cell viability than the EndoSequence BC and GuttaFlow sealer groups. For the set sealer, the Tubli-Seal and AH Plus groups had less cell viability than the EndoSequence BC and GuttaFlow sealer groups. There was no cell viability difference between the EndoSequence BC and GuttaFlow sealer groups in the either freshly mixed or set sealer group. The GuttaFlow and EndoSequence BC sealers have lower cytotoxicity than the AH Plus and Tubli-Seal sealers.

Effect of retained fractured instruments on tooth resistance to vertical fracture with or without attempt at removal

To investigate the effect of retained fractured endodontic instruments on root strength and to evaluate the effectiveness of several root filling materials in reinforcing roots that had undergone unsuccessful attempt at removal of fractured instruments. Seventy five mandibular premolar roots were divided into five groups. In group A (control), canals were prepared to a size F5-ProTaper instrument and filled with gutta-percha and TubliSeal sealer fragments. In the experimental groups (B, C, D and E), 4 mm of F5-ProTaper instruments were fractured in the apical one-third of the canal and then treated as follows: in group B, the fragments were left in situ without attempt at removal, and canals were filled with gutta-percha and TubliSeal sealer (GP No Removal). In groups C, D and E, an attempt at removal of the fragment was simulated by preparing a staging platform coronal to the fragment using modified Gates Glidden burs (No 2-5). Canals in group C were filled with gutta-percha and TubliSeal sealer (GP Removal), group D filled with Resilon (Resilon Removal) and group E with mineral trioxide aggregate (MTA Removal). Roots then underwent vertical fracture. Data were analysed using the one-way anova at P<0.05. Roots in the GP Removal group had significantly lower values for mean force for fracture (404.9 N). There was no significant difference between the control group and GP No Removal (765.2 and 707.8, respectively). Resilon Removal and MTA Removal groups (577.3 and 566.6 N) were not significantly different from the GP No Removal group. Leaving fractured instruments in the apical one-third of the canal does not appear to affect the resistance of the root to vertical fracture; Resilon and MTA appear to compensate for root dentine loss that occurred as a consequence of attempts at retrieval of fractured instruments when used as canal filling materials.

Evaluation of Root Canal Obturation: A Three-dimensional In Vitro Study

The aim of the study was to measure percentage of volume of voids and gaps in root canals obturated with different obturation materials by using micro–computed tomography (micro-CT). Forty-eight single-rooted teeth were collected and decoronated, and root canals were prepared by using rotary files. The roots were randomly allocated into 4 groups, and each group was obturated by using cold lateral compaction with a different material (gutta-percha and TubliSeal sealer, EndoRez points and EndoRez sealer, RealSeal points and RealSeal sealer, and a gutta-percha point and GuttaFlow sealer). Roots were scanned with micro-CT, and volume measurements for voids and gaps in the obturated roots were carried out by using specialized CT software. Percentage of gaps and voids was calculated. Statistical analysis showed that gutta-percha exhibited an overall significantly lower percentage (1.02%) of voids and gaps. The present study showed that none of the root canal filled teeth were gap-free. Roots filled with gutta-percha showed less voids and gaps than roots filled with the remaining filling materials.

Comparison of Sealing Ability of Lateral and Vertical Techniques in Two Different Post Space Preparations

INTRODUCTION: The purpose of this study was to compare the apical sealing ability of lateral and vertical compaction techniques following immediate and delayed post space preparation. MATERIALS AND METHODS: Seventy-four distal and palatal roots of human extracted molars were instrumented and randomly divided into 4 experimental groups (n=15), two experimental control groups (n=5), and two positive and negative leakage controls (n=2). Canals were filled by lateral (groups 1 and 2) and vertical (groups 3 and 4) compaction techniques using Tubliseal sealer. Post space was prepared immediately after obturation in group 1 and after seven days in groups 2 and 4 using a # 3 Peeso drill. In group 3, post space was prepared immediately during down-packing phase. The teeth were kept in 2% methylen blue dye for seven days. The roots were sectioned buccolingually and the mean score of dye penetration was measured. Data was analyzed with T-test and one way ANOVA. RESULTS: There was significant difference in dye penetration between delayed and control-lateral compaction groups ( p =0.009). There was also a significant difference in dye penetration between immediate and delayed lateral compaction groups ( p =0.044). CONCLUSION: Less apical leakage in the cold lateral condensation and immediate post space preparation group was observed.

Three-dimensional Evaluation of Effectiveness of Hand and Rotary Instrumentation for Retreatment of Canals Filled with Different Materials

The aim of this study was to measure the remaining filling volume of different obturation materials from root-filled extracted teeth by using 2 removal techniques. Eighty single-rooted teeth were collected and decoronated, and the root canal was prepared by using the ProTaper nickel-titanium rotary files. The teeth were randomly allocated into 4 groups, and each group was obturated by using a different material. Group 1 was filled with gutta-percha and TubliSeal sealer, group 2 was filled with EndoRez points and EndoRez sealer, group 3 was filled with RealSeal points and RealSeal sealer, and Group 4 was filled with a gutta-percha point and GuttaFlow sealer. Teeth were scanned with a micro–computed tomography scan, and then root fillings were removed by using ProTaper retreatment files or hand K-files. Teeth were scanned again, and volume measurements were carried out with micro–computed tomography software. Statistical analysis showed significant differences between the 2 removal techniques for gutta-percha and for both techniques between gutta-percha and the other groups. The present study showed that all tested filling materials were not completely removed during retreatment by using hand or rotary files. Gutta-percha was more efficiently removed by using hand K-files.

The effect of two root canal sealers on the retentive strength of glass fibre endodontic posts

This study was undertaken to examine the effect of eugenol-containing and non-eugenol-containing root canal sealers on the retention strength of glass fibre endodontic posts (ParaPost Fibre White) luted with a resin cement (ParaPost cement). We also examined the mode of failure that occurred visually by using scanning electron microscopy. Seventy-two single rooted, recently extracted, premolar teeth were root canal treated and randomly divided into two groups. Group 1 was obturated with gutta percha and a calcium hydroxide-based sealer (Sealapex, Kerr). Group 2 was obturated with gutta percha and a eugenol-based sealer (Tubli-Seal Kerr). The teeth were stored for 1 week in distilled water at 37 degrees C and then prepared for 9 mm posts with a 1.40-mm drill. The matching glass fibre post was luted with a resin cement following the manufacturer's instructions. The samples were stored for 1 week and thermocycled. The posts were removed from the root canals using a calibrated testing machine in tensile mode. The mean dislodging force for group 1 was 190.46 N and for group 2 was 183.8 N, with standard deviations of 54.9 and 56.0 N respectively. The t-test indicated no significant difference between the two groups. Failure of the posts occurred mainly within the resin layer. This study showed that under experimental conditions there was no statistically significant difference between Sealapex sealer and Tubli-Seal sealer on the retention of glass fibre posts using a resin cement.