Effect of filling technique and root canal area on the percentage of gutta-percha in laterally compacted root fillings (original) (raw)

Evaluation of Gutta-Percha-Filled Areas in Root Canals after Filling by Two Different Obturation Techniques

2011

The aim of this study was to determine the percentage of gutta-percha-filled area (PGFA) in the apical third of root canals after filling with either System B or cold lateral lateral condensation techniques. Sixty-six recently extracted human maxillary central incisors were prepared with ProTaper NiTi rotary files and randomly divided into two groups of 33 teeth each. Root canal obturation was carried out as the following: Group 1: Cold lateral condensation technique; Group 2: System B. The teeth were sectioned horizontally at 1, 2, 3, 4 mm from the working length. The total cross-sectional area of each canal was measured and the areas of gutta-percha, sealer and voids were calculated and converted to percentages of total surface area. Data were subjected to the Independent t test. At all levels, System B produced significantly higher gutta-percha filled areas (P < 0.001) and lower sealer and void-filled areas (P < 0.001) than lateral condensation technique. System B exhibited better complete obturation with minimal sealer thickness compared to cold lateral condensation.

Evaluation of single root canals filled using the lateral compaction, tagger's hybrid, microseal and guttaflow techniques

Brazilian Dental Journal, 2010

The aim of this study was to determine the percentage of voids, gutta-percha and root canal sealer using 4 different filling techniques. Fifty-two extracted maxillary lateral incisors were prepared using the crown-down pressureless technique. The teeth were randomly divided in 4 groups (n=13): Lateral compaction (LC), Tagger's hybrid (TH), MicroSeal (MS) and GuttaFlow (GF) techniques. Horizontal cross-sections were made at the 2, 10 and 15 mm levels from the apex. Digital images of the root canal areas were acquired using a stereomicroscope and examined using the Image Tool 3.0 software. Statistical analysis was performed using the Kruskal-Wallis test (α=0.05). In general, a significant decrease in the gutta-percha filled area and increase of sealer area were observed at the apical level for all the evaluated techniques (p<0.05). With regard to the presence of voids, no significant difference was found. MS and TH techniques showed a larger gutta-percha filled area than LC and...

In Vitro Comparison of Gutta-Percha-Filled Area Percentages in Root Canals Instrumented and Obturated with Different Techniques

Journal of Istanbul University Faculty of Dentistry, 2017

Purpose: To evaluate the efficacy of different obturation techniques in root canals instrumented either by hand or rotary instruments with regard to the percentage of guttapercha-filled area (PGFA). Materials and Methods: One hundred and sixty extracted mandibular premolars with single, straight root canals were studied. Root canals were prepared to an apical size of 30 by hand with a modified crown-down technique or the ProTaper and HEROShaper systems. Teeth were divided into eight groups (n=20) according to the following instrumentation and obturation techniques: G1:

Three-Step versus Single-Step Use of System B: Evaluation of Gutta-Percha Root Canal Fillings and Their Adaptation to the Canal Walls

Journal of Endodontics, 2004

This study aimed to evaluate the quality of gutta-percha (GP) root canal fillings and their adaptation to the root canal walls, when the System B was used in three steps and a single step to fill three different split-tooth models. Each model was filled 10 times in two different ways. Group A: the System B plugger was used to fill the apical 3 mm of the canal in three steps, and then the Obtura II was used to backfill the rest of the canal. Group B: the System B plugger was inserted just once to a distance 3 mm short of the working length and then backfilled as in Group A. Replication of artificial depressions, presence of voids within the GP mass, and presence of spaces between the GP mass and the root canal walls were evaluated and scored. The individual scores of each parameter evaluated were compared between the two groups and statistically analyzed by use of the Mann-Whitney U test. Group A showed statistically significant (p < 0.05) better scores than Group B concerning the replication of artificial depressions and spaces between the GP mass and the canal walls. It was concluded that better adaptation of the GP mass to the canal walls in the apical third was obtained when the System B plugger was used in three steps.

Applied R e s e a R c h Evaluation of Apical Filling after Root Canal Filling by 2 Different Techniques

2015

Objective: To determine the percent gutta-percha-filled area in the apical third of root canals after filling with 2 different root filling techniques. Materials and Methods: Thirty extracted human lower premolars were instrumented with ProTaper rotary files (Dentsply Maillefer) and then randomly divided into 2 groups of 15 teeth each. The first group was filled using the single-cone technique with a tapered gutta-percha cone. The second group was filled with the lateral condensation technique. Horizontal sections were cut 2 and 4 mm from the apical foramen of each tooth. Photomicrographs of the apical surface of each cross-section were obtained at magnification ×40. Digital image analysis was used to measure the overall area of the canal and the aggregate area occupied by gutta-percha; from these values, the percent gutta-percha-filled area was calculated. The data were compared by t test. Results: The single-cone technique produced significantly greater percent gutta-percha-filled...

Quality of Gutta-Percha Root Canal Fillings Using Differently Tapered Gutta-Percha Master Points

Journal of Endodontics, 2005

The aim of this study was to evaluate the quality and adaptability of gutta-percha root canal fillings to the root canal walls when two different tapered guttapercha master points (GPMP) were used to fill a splittooth model. A maxillary central incisor was prepared for the split-tooth model and 10 fillings for group A (ISO .02 GPMP) and group B (ISO .10 GPMP) were carried out. The System B and the Obtura II were used to fill the split-tooth model and replication of round artificial depressions, voids within the gutta-percha (GP) and spaces between the GP and the root canal walls were evaluated and scored. Individual scores of each parameter evaluated were compared between the two groups and statistically analyzed using the Mann-Whitney U test. Group A showed statistically significant better scores (p Ͻ 0.05) for the replication of the artificial round depressions and spaces between the GP and the root canal walls. No statistically significant differences were found between the two groups for internal voids. It is concluded that the location of the GPMP binding point and the greater mass of the .10-Tapered GPMP may affect the quality and adaptation of the root canal filling in the important apical part of the canal.

A Comparative Evaluation of Endodontically Treated Root Canals Obturated Using Gutta-percha with Two Different Protocols: An In-vitro Study

Journal of International Society of Preventive & Community Dentistry, 2021

Objective: The aim of this article is to evaluate the quality of filling in endodontically treated root canals using the lateral condensation technique and modified lateral condensation technique. Materials and Methods: Thirty-two single-rooted teeth were divided into two groups that were assigned by simple randomization according to the filling technique. Once the endodontic treatment was performed, a periapical radiograph was taken to assess the quality according to the radiographic density and tomography was taken to evaluate the quality according to the tomographic volume of spaces, compared with the post-preparation biomechanical tomography. Finally, we performed a statistical analysis (Student’s t-test) to evaluate whether there were differences between the types of filling. Results: Radiographic radiodensity was 182.89 ± 9.81 and 186.72 ± 6.97 HU for teeth treated with the lateral condensation technique and modified lateral condensation technique, respectively. The void volum...

Evaluation of apical filling after warm vertical gutta-percha compaction using different procedures

2004

The aim of the present study was to evaluate the quality of endodontic sealing in the apical 4 mm of narrow and curved canals using different filling techniques. Human teeth were selected and assigned to four different techniques: group A, Schilder's warm vertical condensation; group B, Schilder's technique modified by using an electric heater; group C, Schilder's technique modified by compaction of the apical tract at body temperature; and group D, a modified vertical compaction with apical back-filling. A dye penetration test was performed, and specimens of group D showed increased apical sealing and reduced extension of voids. The use of the vertical compaction with apical back-filling technique allowed the creation of an effective apical plug and an excellent adaptation of back-filling to apical gutta-percha and to root canal walls. 436 * The reported lacunae length value corresponded to the sum of tracts with absence of filling adaptation to the canal walls within the apical 4 mm. The reported width values corresponded to maximum width of the lacunae. Width and length values were calculated on buccal, lingual, mesial, and distal views. Means with the same superscript letter are not statistically different at p Յ 0.05.

Radiographic evaluation of the quality of root canal obturation of single-matched cone Gutta-percha root canal filling versus hot lateral technique

Saudi Endodontic Journal, 2014

Background and objective: Root canal treatment (RCT) has a high rate of success, when performed by properly trained dental surgeons. However, the failure rate is inappreciably high when the same procedure is done by less experienced dental graduates having no specialization on endodontics. This study was conducted to evaluate the technical quality of RCT performed by practicing dental graduates on Bangladeshi patient. Methods: This cross-sectional study was conducted in the Department of Dentistry of BIRDEM General Hospital Dhaka over a period of 6 months from January to June 2019. Radiographs of patients who had undergone RCT in last 6 months were included in the study. Parameters used to evaluate the obturation of the root canal were presence of root-filled, posts and voids. The RCT was assessed for filling at the end of the root with radiographic apex, the density of the filling material and taper from the orifice to apex. The quality of RCT was evaluated as totally unacceptable (score: 0-2), poorly acceptable (score: 3-4), acceptable (score: 5) and perfect (score: 6) based on the treatment score. Post-treatment complications were determined by furcation and cavity wall perforation, transportation, root perforation, instrument breakage, ledge formation, voids and missed canal. Result: A total of 180 postoperative readable radiographs with post root-canal treatment were evaluated. Evaluation of the technical quality of RCT revealed that 56% of the RCTs were of standard quality (41.7% were of perfect quality and 14.4% were of acceptable quality). The rest 23.3% were poorly acceptable and 20.6% were totally unacceptable. Majority (92.8%) of the obturation of the root canal revealed that roots were filled with sealing materials; however, 8.9% exhibited posts and 36.7% demonstrated voids. A sizable portion of the root canal obturation was unacceptable in terms of its length (12.2%), density (20%) and tapering (16.7%). Total 132 (73.3%) teeth developed at least one complication. Under filling and voids were predominant complications (42.8% and 41.1% respectively) followed by root perforation (12.2%), transportation (11.7%), ledge formation (5%), instrument breakage (2.8%) and missed canal (3.3%). Conclusion: The study concluded that over forty percent of the RCTs performed by dental graduates having no specialization on endodontics are of substandard quality and hence not acceptable.