Root Canal Adhesive Filling in Dogs’ Teeth with or without Coronal Restoration: A Histopathological Evaluation

Leonardo, Mario Roberto; Barnett, Frederick; Debelian, Gilberto J.; de Pontes Lima, Regina Karla; Bezerra da Silva, Léa Assed

doi:10.1016/j.joen.2007.07.037

« Previous Next »Journal of Endodontics
Volume 33, Issue 11 , Pages 1299-1303, November 2007

Root Canal Adhesive Filling in Dogs’ Teeth with or without Coronal Restoration: A Histopathological Evaluation

Mario Roberto Leonardo, DDS, PhD
- Department of Pediatric Clinic, Preventive and Social Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil
Frederick Barnett, DMD
- Department of Endodontics, School of Dentistry, Temple University, Philadelphia, Pennsylvania
Gilberto J. Debelian, DMD, PhD
- Department of Endodontics and the Institute of Oral Biology, School of Dentistry, University of Oslo, Oslo, Norway
Regina Karla de Pontes Lima, DDS
- Department of Restorative Dentistry, School of Dentistry of Araraquara, State University of São Paulo, Araraquara, Brazil.
Léa Assed Bezerra da Silva, DDS, PhD
- Department of Pediatric Clinic, Preventive and Social Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil
- Address requests for reprints to Dr Léa Assed Bezerra da Silva, Departamento de Clinical Infantil, Odontologia Preventiva e Social, Faculdade de Odontologia de Ribeirão Preto-USP, Av. do Café, s/n Monte Alegre, 14040-904, Ribeirão Preto, SP, Brazil.

published online 17 September 2007.

Abstract

The purpose of this study was to evaluate in vivo the response of the periradicular tissues after endodontic treatment and root filling with Epiphany/Resilon (Penntron Clinical Technologies, LLC, Wallingford, CT) or gutta percha and new Sealapex (SybronEndo, Glendora, CA) in dogs’ teeth with or without coronal restoration. Teeth without coronal restorations were used to assess the influence of continuous exposure to the oral environment on the periradicular tissues. Sixty root canals with vital pulps in three dogs were instrumented and obturated in a single session and randomly assigned to one of four groups as follows. group 1: root canal filling with Epiphany/Resilon with coronal restoration, group 2: root canal filling with Sealapex sealer and gutta percha with restoration, group 3: root canal filling with Epiphany/Resilon without restoration, and group 4: root canal filling with Sealapex sealer and gutta percha without coronal restoration. After 90 days, the animals were euthanized, and the maxillas and mandibles were removed and submitted for histologic processing. Longitudinal sections were obtained and stained with hematoxylin and eosin, Mallory’s trichrome, and Brown and Brenn stains and examined under light microscopy. There were significant differences found between the four groups (p < 0.05). The results showed that roots canals filled with Epiphany/Resilon, with coronal restoration, had significantly less periradicular inflammation than roots canals filled with gutta percha and Sealapex, with coronal restoration (p = 0.021). No significant difference was observed in the intensity of inflammation between roots canals filled with Epiphany/Resilon with no restoration and roots filled with gutta percha and Sealapex with restoration (p = 0.269). Roots canals filled with gutta percha and Sealapex sealer without coronal restoration showed the greatest degree of periradicular inflammation.

Key Words: Coronal leakage, Resilon, root canal–filling materials, Sealapex