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Basic Research| Volume 47, ISSUE 11, P1783-1789, November 2021

Micro–computed Tomographic Evaluation of the Quality of Root Canal Fillings in Mandibular Molars after Obturation for 54 Months

Published:September 04, 2021DOI:https://doi.org/10.1016/j.joen.2021.08.015

      Abstract

      Introduction

      The present study evaluated the percentage volume of voids in root canals of mandibular molars that had been obturated for 54 months.

      Methods

      Thirty extracted human mandibular molars were instrumented and debrided. The teeth were assigned to 3 groups (n = 10) according to the filling technique and sealer used: the single-cone technique using AH Plus sealer (AHS; Dentsply Sirona Endodontics, Tulsa, OK) or EndoSequence BC sealer (BCS; Brasseler USA Dental LLC, Savannah, GA) and the warm vertical compaction technique using AH Plus sealer (AHW). The specimens were stored at 37°C and 100% humidity. Micro–computed tomographic imaging was used to scan each specimen 1 day 54 months after obturation. Data were analyzed using 1-way analysis of variance and the paired t test.

      Results

      The percentage volume of voids in the teeth 1 day after obturation in the AHS group was higher than in the BCS group and the AHW group (P < .05). After 54 months, the proportion of voids decreased in all groups (P < .05). No significant difference was observed between the AHS group and the BCS group after 54 months. Teeth in the AHW group contained fewer voids than the AHS group (P < .05).

      Conclusions

      Voids in root canal filling were reduced 54 months after obturation. The warm vertical compaction technique achieved better root canal filling quality in mandibular molars than the single-cone technique when using AHS after long-term storage at 100% humidity.

      Key Words

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      References

        • Li G.H.
        • Niu L.N.
        • Zhang W.
        • et al.
        Ability of new obturation materials to improve the seal of the root canal system: a review.
        Acta Biomater. 2014; 10: 1050-1063
        • Whitworth J.
        Methods of filling root canals: principles and practices.
        Endod Topics. 2005; 12: 2-24
        • Haapasalo M.
        • Udnaes T.
        • Endal U.
        Persistent, recurrent, and acquired infection of the root canal system post-treatment.
        Endod Topics. 2003; 6: 29-56
        • Chugal N.M.
        • Clive J.M.
        • Spångberg L.S.
        Endodontic infection: some biologic and treatment factors associated with outcome.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96: 81-90
        • Ng Y.L.
        • Mann V.
        • Rahbaran S.
        • et al.
        Outcome of primary root canal treatment: systematic review of the literature - part 2. influence of clinical factors.
        Int Endod J. 2008; 41: 6-31
        • Shemesh H.
        • van den Bos M.
        • Wu M.K.
        • et al.
        Glucose penetration and fluid transport through coronal root structure and filled root canals.
        Int Endod J. 2007; 40: 866-872
        • Keleş A.
        • Alcin H.
        • Kamalak A.
        • et al.
        Micro-CT evaluation of root filling quality in oval-shaped canals.
        Int Endod J. 2014; 47: 1177-1184
        • Ørstavik D.
        Materials used for root canal obturation: technical, biological and clinical testing.
        Endod Topics. 2005; 12: 25-38
        • Barbosa F.O.
        • Gusman H.
        • Pimenta de Araújo M.C.
        • et al.
        A comparative study on the frequency, location, and direction of accessory canals filled with the hydraulic vertical condensation and continuous wave of condensation techniques.
        J Endod. 2009; 35: 397-400
        • Zhong X.
        • Shen Y.
        • Ma J.
        • et al.
        Quality of root filling after obturation with gutta-percha and 3 different sealers of minimally instrumented root canals of the maxillary first molar.
        J Endod. 2019; 45: 1030-1035
        • Bjørndal L.
        • Kirkevang L.L.
        • Withwoth J.
        Textbook of Endodontology.
        Wiley Blackwell, Oxford, UK2018
        • Lottanti S.
        • Tauböck T.T.
        • Zehnder M.
        Shrinkage of backfill gutta-percha upon cooling.
        J Endod. 2014; 40: 721-724
        • Zhou H.M.
        • Shen Y.
        • Zheng W.
        • et al.
        Physical properties of 5 root canal sealers.
        J Endod. 2013; 39: 1281-1286
        • Chen B.
        • Haapasalo M.
        • Mobuchon C.
        • et al.
        Cytotoxicity and the effect of temperature on physical properties and chemical composition of a new calcium silicate-based root canal sealer.
        J Endod. 2020; 46: 531-538
        • Donnermeyer D.
        • Bürklein S.
        • Dammaschke T.
        • et al.
        Endodontic sealers based on calcium silicates: a systematic review.
        Odontology. 2019; 107: 421-436
        • Chybowski E.A.
        • Glickman G.N.
        • Patel Y.
        • et al.
        Clinical outcome of non-surgical root canal treatment using a single-cone technique with Endosequence bioceramic sealer: a retrospective analysis.
        J Endod. 2018; 44: 941-945
        • Zavattini A.
        • Knight A.
        • Foschi F.
        • et al.
        Outcome of root canal treatments using a new calcium silicate root canal sealer: a non-randomized clinical trial.
        J Clin Med. 2020; 9: 782
        • Hammad M.
        • Qualtrough A.
        • Silikas N.
        Evaluation of root canal obturation: a three-dimensional in vitro study.
        J Endod. 2009; 35: 541-544
        • Somma F.
        • Cretella G.
        • Carotenuto M.
        • et al.
        Quality of thermoplasticized and single point root fillings assessed by micro-computed tomography.
        Int Endod J. 2011; 44: 362-369
        • Celikten B.
        • Uzuntas C.F.
        • Orhan A.I.
        • et al.
        Evaluation of root canal sealer filling quality using a single-cone technique in oval shaped canals: an in vitro micro-CT study.
        Scanning. 2016; 38: 133-140
        • Iglecias E.F.
        • Freire L.G.
        • de Miranda Candeiro G.T.
        • et al.
        Presence of voids after continuous wave of condensation and single-cone obturation in mandibular molars: a micro-computed tomography analysis.
        J Endod. 2017; 43: 638-642
        • Kim J.A.
        • Hwang Y.C.
        • Rosa V.
        • et al.
        Root canal filling quality of a premixed calcium silicate endodontic sealer applied using gutta-percha cone-mediated ultrasonic activation.
        J Endod. 2018; 44: 133-138
        • Roizenblit R.N.
        • Soares F.O.
        • Lopes R.T.
        • et al.
        Root canal filling quality of mandibular molars with EndoSequence BC and AH Plus sealers: a micro-CT study.
        Aust Endod J. 2020; 46: 82-87
        • Gandolfi M.G.
        • Parrilli A.P.
        • Fini M.
        • et al.
        3D micro-CT analysis of the interface voids associated with Thermafil root fillings used with AH Plus or a flowable MTA sealer.
        Int Endod J. 2013; 46: 253-263
        • Milanovic I.
        • Milovanovic P.
        • Antonijevic D.
        • et al.
        Immediate and long-term porosity of calcium silicate-based sealers.
        J Endod. 2020; 46: 515-523
        • European Society of Endodontology
        Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology.
        Int Endod J. 2006; 39: 921-930
        • Li J.
        • Bergeron B.E.
        • Chao J.
        • et al.
        Micro-computed tomography evaluation of root canal filling quality with apical negative pressure.
        J Dent. 2020; 100: 103431
        • Li G.H.
        • Niu L.N.
        • Selem L.C.
        • et al.
        Quality of obturation achieved by an endodontic core-carrier system with crosslinked gutta-percha carrier in single-rooted canals.
        J Dent. 2014; 42: 1124-1134
        • Ørstavik D.
        Time-course and risk analyses of the development and healing of chronic apical periodontitis in man.
        Int Endod J. 1996; 29: 150-155
        • Maniglia-Ferreira C.
        • Silva Jr., J.B.
        • de Paula R.C.
        • et al.
        Degradation of trans-polyisoprene over time following the analysis of root fillings removed during conventional retreatment.
        Int Endod J. 2007; 40: 25-30
        • Maniglia-Ferreira C.
        • Bönecker G.
        • Silva Jr., J.B.
        • et al.
        Degradation of trans-polyisoprene after root filling with thermoplasticized techniques.
        Int Endod J. 2008; 41: 296-302
        • Brackett M.G.
        • Martin R.
        • Sword J.
        • et al.
        Comparison of seal after obturation techniques using a polydimethylsiloxane-based root canal sealer.
        J Endod. 2006; 32: 1188-1190
        • Qu W.
        • Bai W.
        • Liang Y.H.
        • et al.
        Influence of warm vertical compaction technique on physical properties of root canal sealers.
        J Endod. 2016; 42: 1829-1833
        • Schembri Wismayer P.
        • Lung C.Y.
        • Rappa F.
        • et al.
        Assessment of the interaction of Portland cement-based materials with blood and tissue fluids using an animal model.
        Sci Rep. 2016; 29: 34547
        • Pereira R.D.
        • Brito-Júnior M.
        • Leoni G.B.
        • et al.
        Evaluation of bond strength in single-cone fillings of canals with different cross-sections.
        Int Endod J. 2017; 50: 177-183