Evaluation of intracanal post removal using ultrasound (original) (raw)
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Ultrasound Effect in the Removal of Intraradicular Posts Cemented with Different Materials
The journal of contemporary dental practice, 2015
This study evaluated the effect of ultrasonic vibration on the tensile strength required to remove intraradicular post cemented with different materials. Bovine teeth were selected, and 7 mm of the cervical root canals were prepared to size 5 Largo drill, the posts were cemented with zinc phosphate, Enforce (resin) or Rely X (glass ionomer). The specimens were divided into six groups (n = 10), according to the following procedures: GI-cementation with zinc phosphate associated with traction force; GII-cementation with zinc phosphate associated with ultrasonic activation and traction force; G111-cementation with Enforce associated with traction force; GIV-cementation with Enforce associated with ultrasonic activation and traction force; GV-cementation with Rely X associated with traction force; and GVI-cementation with Rely X associated with ultrasonic activation and traction force. The tensile test was conducted using the electromechanical testing machine, the force was determined b...
Comparison of two ultrasonic instruments for post removal
Journal of endodontics, 2002
The relative performance of two different ultrasonic units commonly used clinically for post removal was evaluated using tips designed specifically for post vibration. Twenty-four extracted maxillary and mandibular cuspids with crowns removed at the labial cementoenamel junction were treated endodontically. Post spaces were made 10 mm into the roots before cementing a 16 mm #5 (0.050-inch) Para-Post with zinc phosphate cement. The teeth were divided into three similar groups of eight. Post retention was assessed in group 1. Ultrasonic vibration was applied to groups 2 and 3 until post removal. The average force required to dislodge the posts from the teeth in group 1 (control group, no ultrasound) was 40.5 kg (SD = 12.3 kg). The average time for post removal in group 2 (Spartan) was 4:52 min (SD = 2:26). The average time for post removal in group 3 (Enac) was 1:31 min (SD = 0:34). The difference between groups 2 and 3 was statistically significant (p < 0.005). Use of ultrasonic t...
Giornale Italiano di Endodonzia, 2018
The purpose of this study was to evaluate temperature changes generated on radicular surface of extracted monoradicular teeth during ultrasonic removal of fiber posts. Methodology: Forty intact monoradicular teeth, with not less than 15 mm root canal length, with mature apex and without root fractures, were selected. After root canal instrumentation and obturation of teeth, dowel space preparation was obtained at 9 mm length. Samples were randomly divided into two groups according to the type of fiber post used: the first group received quartz fiber posts D.T. Light Post n. 0.5; the second group cemented silica fiber post TECHOLE S with central hole. Removal technique was performed with microblades ultrasonic tips, in particular Start-X #3. Operative protocol provided succession of dry use of ultrasonic inserts for a period of 25 s, air cooling for 25 s and water cooling for 25 s, until posts entire removal. Thermographic measurements were recorded taking photography and videos using Thermal Imaging Camera FLIR-One. Results: Results show that dry use leads to rapid increase in root surface temperature beyond critical limit, while both air cooling and water one decreases it to lower value for both of groups. The best results were obtained by water cooling. Peer review under responsibility of Società Italiana di Endodonzia.
International Endodontic Journal, 2005
van der Sluis LWM, Wu M-K, Wesselink PR. The efficacy of ultrasonic irrigation to remove artificially placed dentine debris from human root canals prepared using instruments of varying taper. International Endodontic Journal, 38, 764-768, 2005. Aim To investigate the influence of the taper of root canals on the effectiveness of ultrasonic irrigation to remove artificially placed dentine debris. Method Forty-four maxillary and mandibular canines were selected after bucco-lingual and mesiodistal radiographs indicated that their internal diameters were smaller than the diameters of a size 20, .06 taper System GT instrument (Dentsply Maillefer, Ballaigues, Switzerland). These canines were divided into three groups and prepared using either size 20, .06 taper System GT instruments, size 20, .08 taper or size 20, .10 taper System GT instruments. Each root was then split longitudinally through the canal, forming two halves. In one canal wall, a standard groove was cut 2-6 mm from the apex, to simulate uninstrumented canal extensions. Each groove was filled with dentine debris mixed with 2% NaOCl to simulate a situation when dentine debris accumulates in the uninstrumented canal extensions. Each canal was reassembled by joining the two halves of the teeth by means of wires and sticky wax. In each canal ultrasonic irrigation was performed with a size 15 K file using 2% NaOCl as an irrigant. Before and after irrigation, images of each half of the canal with a groove were taken using a microscope and a digital camera, after which they were scanned into a PC as TIFF images. The quantity of dentine debris in the groove was evaluated using a scoring system: the higher the score, the larger the amount of debris. The scores before and after irrigation were compared. The differences in percentage of score reduction between the three groups were analysed by means of one-way anova. Results After ultrasonic irrigation, the debris score reduced by 74, 81 and 93%, respectively, in the size 20, .06, 20, .08 and 20, .10 taper groups. However, the difference amongst groups was not statistically significant (P ¼ 0.078). Conclusion There was a tendency that ultrasonic irrigation was more effective in removing artificially placed dentine debris from simulated canal extensions from canals with greater tapers.
Effects of Sonic Application of Adhesive Systems on Bonding Fiber Posts to Root Canals
Journal of Endodontics, 2014
Introduction: Luting posts inside the root canal is still a challenge because of the difficulty of bonding adhesive materials in the apical third of roots. This study evaluated the effect of the application mode of 3 simplified etch-and-rinse adhesives on the push-out bond strength (PBS), nanoleakage (NL), and in situ degree of conversion (DC) of fiber posts in the root canal. Methods: The roots of human premolars were endodontically prepared and divided into 6 groups according to the combination of the main factors: adhesive (Ambar, FGM, Joinville, SC, Brazil; Adper Single Bond 2, 3MESPE, St Paul, MN; and XP Bond+self-cure activator, DeTrey Dentsply, Konstanz, Germany) and application mode (manual or sonic). The posts were cemented and the PBS tested at 0.5 mm/min. The NL was evaluated by scanning electron microscopy after the immersion of specimens in 50% silver nitrate. Micro-Raman spectroscopy was used to measure the in situ DC. Root third was also considered in the statistical evaluation. Data were analyzed by 3-way repeated measures analysis of variance and Tukey tests (5%). Results: Under sonic application, the PBS and the in situ DC increased, whereas NL decreased significantly for all groups in the middle and apical thirds (P < .05). Conclusions: The application of simplified adhesives by sonic mode in the root canal is a feasible tool to increase the fiber post bond to root canals. (J Endod 2014;40:1201-1205
Various Conditioning Methods for Root Canals Influencing the Tensile Strength of Titanium Posts.
Conditioning the root canal is frequently advised to achieve high post-retention when resin composite luting cements are used. However, manufacturers' instructions for this purpose differ widely from one another. The aim of this study was to compare the tensile bond strengths of passive, tapered, titanium root posts that were luted with four different resin composite cements (Compolute Ò Aplicap, Flexi-Flow cem TM , Panavia Ò 21 EX, Twinlook Ò ) in the root canals at three conditions, namely (i) no conditioning, (ii) etching with 37% phosphoric acid, and (iii) etching + bonding agent application. Panavia 21 EX was further tested after using the primer for the post-surface according to the manufacturer's recommendations. The posts luted with zinc phosphate cement (Tenet) acted as the control group. Following endodontic preparation of 140 intact anterior teeth with hand instruments, the post-spaces were prepared using the opening drills of the corresponding size of the posts. The samples were first stored in water at 37°C for 24 h and then thermocycled (5000 cycles, 5-55°C, 30 s). The tensile strength values were measured with the universal testing machine at a crosshead speed of 0AE5 mm min -1 . The data were analysed Panavia 21 EX, it was not the case for the other luting cements tested.
The Fit of Tapered Posts in Root Canals Luted with Zinc Phosphate Cement: A Histological Study.
KEYWORDS Film thickness; Post; Zinc phosphate cement Summary Objectives. Stress transmission to the root through passive fitting dental posts is partly influenced by the thickness of the cement layer between the post and the prepared root canal surface as well as the fit of the post in the root canal. The objective of this study was to compare the cement gap between the post surfaces and the root canals using five prefabricated, tapered, unthreaded titanium posts of different manufacturers, without and with cement. Methods. Following the endodontic treatment with hand instruments of 100 intact anterior teeth, post spaces were prepared using opening drills of the corresponding size of post. Fifty posts were cemented with zinc phosphate cement into the roots for each system while another 50 posts were inserted into the canal without using the cement. After histological sectioning, the cement gap was measured at six sites for three times at the coronal, middle and apical regions between the root canal wall and the post surface under a light microscope before and after cementation. Results. Before cementation, the highest overall cement gap was observed with the Dr Mooser post system w (46 mm) and the lowest with the Velva post system w and Cylindro-Conical system w (30 mm). Significantly less (P!0.05) mean cement gap was observed with respect to the Erlangen post system w (41 mm), the Dr Mooser post system w (48 mm), the MP Pirec post system w (34 mm) and Velva post system w (33 mm) when compared with the Cylindro-Conical system w (62 mm). The Cylindro-Conical system w (79, 61 mm) and MP Pirec post system w (25, 24 mm) demonstrated no significant difference (PO0.001) compared with Velva-Post w (38, 20 mm) at the coronal and middle part, respectively (Mann-Whitney U-test, Boneferroni correction). Significant differences (P!0.001) were observed between the cement gap at the coronal and apical part for the Cylindro-Conical system w (79, 46 mm), Dr Mooser post system w (45, 56 mm) and MP Pirec post system w (25, 52 mm). After cementation, Dental Materials (2005) 21, 787-793 www.intl.elsevierhealth.com/journals/dema 0109-5641/$ -see front matter Q (M. Özcan).
Comparison of Different Ultrasonic Tip Angulations on Time Required for Cast Post Removal
World Journal of Dentistry, 2014
Aim The aim of this study was to design, develop and compare ultrasound tips with different angulations on time required for cast post removal. Materials and methods To test and compare the ultrasonic tips developed, 36 metal patterns were fabricated from tin bars, on a mechanical precision lathe. Each metal pattern simulated an endodontically treated tooth, without coronal remaining, prepared to receive a cast post with 10 mm long. The cast posts were cemented with zinc phosphate cement. The metal patterns with their respective intraradicular posts cemented were stored at 37°C, at relative humidity 100%, for a period of 48 hours. After this period, the specimens were randomly divided into three groups, and each group was submitted to the action of one of the ultrasonic tips (n = 12): G1—tip with 30° angulation; G2—tip with 45° angulation and G3—tip without angulation (straight tip). Each ultrasonic tip was used on the surfaces of the cast posts (mesial, distal, buccal, lingual and ...
Srpski arhiv za celokupno lekarstvo, 2008
INTRODUCTION The basic work principle of all ultrasonic techniques is the piezoelectric effect of producing high frequency ultrasounds of small length, which are transmitted over the endodontic extensions or canal instruments into the root canal. When in contact with the tissue, ultrasonic vibrations are converted into mechanical oscillations. Ultrasonic waves and the obtained oscillations along with the synergic effect of irrigation bring about the elimination of smear layer from the root canal walls. OBJECTIVE The aim of the study was to ultrastucturally examine the effect of smear layer removal from the walls of canals by the application of the active ultrasonic method without irrigation, that is by the application of ultrasound and irrigation using distilled water and 2.5% NaOCl. METHOD The investigation comprised 35 single-canal, extracted human teeth. After removal of the root canal content, experimental samples were divided into three groups. According to the procedure requir...