CC BY-NC-ND 4.0 · Eur J Dent 2019; 13(02): 166-171
DOI: 10.1055/s-0039-1695661
Original Article
Dental Investigation Society

Microscopic and Chemical Assessments of the Filling Ability in Oval-Shaped Root Canals Using Two Different Carrier-Based Filling Techniques

Davide Mancino
1   Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, Strasbourg, France
2   UMR-S 1121 Inserm, Biomaterials and Bioengineering, Strasbourg, France
,
Naji Kharouf
1   Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, Strasbourg, France
2   UMR-S 1121 Inserm, Biomaterials and Bioengineering, Strasbourg, France
,
Joseph Hemmerlé
1   Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, Strasbourg, France
2   UMR-S 1121 Inserm, Biomaterials and Bioengineering, Strasbourg, France
,
Youssef Haïkel
1   Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, Strasbourg, France
2   UMR-S 1121 Inserm, Biomaterials and Bioengineering, Strasbourg, France
› Author Affiliations
Funding None.
Further Information

Publication History

Publication Date:
01 October 2019 (online)

Abstract

Objectives The aim of this study was to assess the filling ability in oval-shaped canals using two different carrier-based filling techniques.

Materials and Methods Twenty-four human mandibular premolars with one oval canal were selected. Canals were shaped using WaveOne Gold Primary and ProGlider. Samples were divided into two groups and filled as follows: Thermafil and GuttaCore. The proportions of gutta-percha-filled areas (GPFAs), sealer-filled areas (SFAs), and void areas (VA), at 2 and 5 mm, were analyzed using optical numeric microscope, scanning electron microscope, and energy-dispersive X-ray.

Statistical Analysis Data were compared by Kruskal–Wallis one-way analysis of variance on ranks, with statistical significance set at α = 0.05.

Results At 2 and 5 mm distances from the apex, this study discloses no statistically different filling ability for the two techniques. Concerning each sample treated using both filling systems, the presence of tags was visualized. At working length (WL)-5, and WL-2, the maximum tag penetration depth for the GuttaCore group into the dentinal tubules was, respectively, 96 μm and 48 μm, whereas the values in the thermafil group were 109 μm, and 55 μm, respectively.

Conclusions Our results clearly show that Thermafil and GuttaCore can fill oval-shaped canals in appropriate way. Furthermore, we can state that the GuttaCore obturator allows to preserve the same filling ability than Thermafil obturator, in view of the fact that there was no difference, in terms of GPFA, SFA, and VA between the two different carrier-based obturation techniques.

 
  • References

  • 1 Krasner P, Rankow HJ. Anatomy of the pulp-chamber floor. J Endod 2004; 30 (01) 5-16
  • 2 Boveda C, Kishen A. Contracted endodontic cavities: the foundation for less invasive alternatives in the management of apical periodontitis. Endod Topics 2015; 33: 169-186
  • 3 Eaton JA, Clement DJ, Lloyd A, Marchesan MA. Micro-computed tomographic evaluation of the influence of root canal system landmarks on access outline forms and canal curvatures in mandibular molars. J Endod 2015; 41 (11) 1888-1891
  • 4 Alovisi M, Pasqualini D, Musso E. et al. Influence of contracted endodontic access on root canal geometry: an. in vitro. study. J Endod 2018; 44 (04) 614-620
  • 5 Mancino D, Kharouf N. Root canal treatment of dilacerated second maxillary premolars: planning the shaping procedure. J Clin Exp Dent 2018; 10 (06) e624-e627
  • 6 Zehnder M. Root canal irrigants. J Endod 2006; 32 (05) 389-398
  • 7 Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR. Review of contemporary irrigant agitation techniques and devices. J Endod 2009; 35 (06) 791-804
  • 8 Kanisavaran ZM. Chlorhexidine gluconate in endodontics: an update review. Int Dent J 2008; 58 (05) 247-257
  • 9 Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in endodontics. Int Endod J 2009; 42 (04) 288-302
  • 10 Wu M, van der Sluis LW, Wesselink PR. A preliminary study of the percentage of gutta-percha-filled area in the apical canal filled with vertically compacted warm gutta-percha. Int Endod J 2002; 35 (06) 527-535
  • 11 De-Deus G, Gurgel-Filho ED, Magalhães KM, Coutinho-Filho T. A laboratory analysis of gutta-percha-filled area obtained using Thermafil, System B and lateral condensation. Int Endod J 2006; 39 (05) 378-383
  • 12 De-Deus G, Maniglia-Ferreira CM, Gurgel-Filho ED, Paciornik S, Machado AC, Coutinho-Filho T. Comparison of the percentage of gutta-percha-filled area obtained by Thermafil and System B. Aust Endod J 2007; 33 (02) 55-61
  • 13 Ørstavik D. Materials used for root canal obturation: Technical, biological and clinical testing. Endod Topics 2005; 12: 25-38
  • 14 Peng L, Ye L, Tan H, Zhou X. Outcome of root canal obturation by warm gutta-percha versus cold lateral condensation: a meta-analysis. J Endod 2007; 33 (02) 106-109
  • 15 Whitworth J. Methods of filling root canals: principles and practices. Endod Topics 2005; 12: 2-24
  • 16 Carver K, Nusstein J, Reader A, Beck M. In vivo antibacterial efficacy of ultrasound after hand and rotary instrumentation in human mandibular molars. J Endod 2007; 33 (09) 1038-1043
  • 17 Bukiet F, Couderc G, Camps J. et al. Wetting properties and critical micellar concentration of benzalkonium chloride mixed in sodium hypochlorite. J Endod 2012; 38 (11) 1525-1529
  • 18 Park E, Shen YA, Haapasalo M. Irrigation of the apical root canal. Endod Topics 2012; 27: 54-73
  • 19 Wang Z, Shen Y, Haapasalo M. Effectiveness of endodontic disinfecting solutions against young and old Enterococcus faecalis biofilms in dentin canals. J Endod 2012; 38 (10) 1376-1379
  • 20 Ordinola-Zapata R, Bramante CM, Cavenago B. et al. Antimicrobial effect of endodontic solutions used as final irrigants on a dentine biofilm model. Int Endod J 2012; 45 (02) 162-168
  • 21 Haapasalo M, Endal U, Zandi H, Coil JM. Eradication of endodontic infection by instrumentation and irrigation solutions. Endod Topics 2005; 10: 77-102
  • 22 Haapasalo M, Shen YA. Current therapeutic options for endodontic biofilms. Endod Topics 2012; 22: 79-98
  • 23 Haapasalo M, Qian W, Shen YA. Irrigation: beyond the smear layer. Endod Topics 2012; 27: 35-53
  • 24 Sundqvist G, Figdor D. Endodontic Treatment of Apical Periodontitis. In: Ørstavik D, Pitt FordTR. eds. Essential Endodontology: Prevention and Treatment of Apical Periodontitis. Oxford: Blackwell; 1998
  • 25 Wilcox LR. Thermafil retreatment with and without chloroform solvent. J Endod 1993; 19 (11) 563-566
  • 26 Wong AW, Zhang S, Li SK, Zhang C, Chu CH. Clinical studies on core-carrier obturation: a systematic review and meta-analysis. BMC Oral Health 2017; 17 (01) 167
  • 27 Beasley RT, Williamson AE, Justman BC, Qian F. Time required to remove guttacore, thermafil plus, and thermoplasticized gutta-percha from moderately curved root canals with protaper files. J Endod 2013; 39 (01) 125-128
  • 28 Rödig T, Wagner J, Wiegand A, Rizk M. Efficacy of the ProTaper retreatment system in removing Thermafil, GuttaCore or vertically compacted gutta-percha from curved root canals assessed by micro-CT. Int Endod J 2018; 51 (07) 808-815
  • 29 Schroeder AA, Ford NL, Coil JM. Micro-computed tomography analysis of post space preparation in root canals filled with carrier-based thermoplasticized gutta-percha. Int Endod J 2017; 50 (03) 293-302
  • 30 Greco K, Carmignani E, Cantatore G. The Thermafil root canal obturation system. G Ital Endod 2011; 25: 97-109