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DOI: 10.1055/s-0041-1724158
Correlation among Root Canal Configuration, Quality of Filling, and Its Sealability
Funding None.

Abstract
Objective This study aimed to evaluate the existence of possible correlations among root canal configuration, quality of filling, and its sealability.
Materials and Methods Sixty human mandibular central incisors were selected for this study. The teeth were prepared with the Profile 04 system up to instrument 35/0.04 and irrigated with 2.5 mL of 2.5% sodium hypochlorite at each instrument change. Root canal filling was performed by the lateral compaction technique, using gutta-percha and an epoxy resin-based sealer (AH Plus) labeled with 0.1% Rhodamine B dye. Afterward, the specimens were submitted to fluid filtration tests to assess the sealability of the filling. Cross-sections were obtained at −3, −6, and −8 mm from the root apex and submitted to a metallographic treatment to determine the root canal configuration and the percentage of gutta-percha filled areas. The data were statistically analyzed by the Grubbs test. Pairs of correlations were analyzed by applying the Spearman test at a level of significance of 5%.
Results No correlation was observed among the analyzed variables as follows: root canal configuration versus filling quality (Spearman’s rho = 0.031); filling quality versus sealability (Spearman’s rho = 0.219); and root canal configuration versus sealability (Spearman’s rho = 0.184).
Conclusion The root canal configuration did not affect the quality of the filling and its sealability.
Publication History
Article published online:
23 February 2021
© 2021. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Tomson PL, Simon SR. Contemporary cleaning and shaping of the root canal system. Prim Dent J 2016; 5 (02) 46-53
- 2 Mello FW, Miguel AFP, Ribeiro DM. et al. The influence of apical extent of root canal obturation on endodontic therapy outcome: a systematic review. Clin Oral Investig 2019; 23 (05) 2005-2019
- 3 Schilder H. Filling root canals in three dimensions. Dent Clin North Am 1967; 723-744
- 4 Epley SR, Fleischman J, Hartwell G, Cicalese C. Completeness of root canal obturations: Epiphany techniques versus gutta-percha techniques. J Endod 2006; 32 (06) 541-544
- 5 Libonati A, Montemurro E, Nardi R, Campanella V. Percentage of gutta-percha-filled areas in canals obturated by 3 different techniques with and without the use of endodontic sealer. J Endod 2018; 44 (03) 506-509
- 6 Reddy A, Garg G, Janardhanan S, Uthappa R, Arora S, Singh NK. An in vitro evaluation of apical leakage in gutta-percha/AH Plus and Resilon/Epiphany-filled root canals using two dye penetration techniques. J Contemp Dent Pract 2019; 20 (02) 152-157
- 7 Haïkel Y, Freymann M, Fanti V, Claisse A, Poumier F, Watson M. Apical microleakage of radiolabeled lysozyme over time in three techniques of root canal obturation. J Endod 2000; 26 (03) 148-152
- 8 Alves AMH, Pozzobon MH, Bortoluzzi EA. et al. Bacterial penetration into filled root canals exposed to different pressures and to the oral environment-in vivo analysis. Clin Oral Investig 2018; 22 (03) 1157-1165
- 9 Sudan PS, Samson EP, Kukreja MK, Khan M, Misurya R, Ismail PMS. A comparative evaluation of apical leakage using three root canal sealants: an in vitro study. J Contemp Dent Pract 2018; 19 (08) 955-958
- 10 Kuştarci A, Arslan D, Kaya B. Effects of three different irrigating solutions and KTP laser irradiation on apical leakage: an electrochemical study. Acta Odontol Scand 2012; 70 (05) 377-383
- 11 Moradi S, Disfani R, Baziar H, Daneshvar F, Jafarzadeh H. Use of fluid filtration method to evaluate the effect of master cone size on the apical seal of severely curved root canals. J Oral Sci 2013; 55 (02) 93-98
- 12 Machado R, Back ED, Tomazinho LF. Silva EJNL, Silva Neto UX, Souza EM, Vansan LP. Lack of correlation between radiographic density of filling and fluid infiltration. Dent Press Endod 2014; 4 (03) 42-46
- 13 van der Sluis LW, Wu MK, Wesselink PR. An evaluation of the quality of root fillings in mandibular incisors and maxillary and mandibular canines using different methodologies. J Dent 2005; 33 (08) 683-688
- 14 Özkurt-Kayahan Z, Barut G, Ulusoy Z. et al. Influence of post space preparation on the apical leakage of calamus, single-cone and cold lateral condensation obturation techniques: a computerized fluid filtration study. J Prosthodont 2019; 28 (05) 587-591
- 15 Loizides AL, Kakavetsos VD, Tzanetakis GN, Kontakiotis EG, Eliades G. A comparative study of the effects of two nickel-titanium preparation techniques on root canal geometry assessed by microcomputed tomography. J Endod 2007; 33 (12) 1455-1459
- 16 Siqueira Jr JF, Pérez AR, Marceliano-Alves MF. et al. What happens to unprepared root canal walls: a correlative analysis using micro-computed tomography and histology/scanning electron microscopy. Int Endod J 2018; 51 (05) 501-508
- 17 Celikten B, Uzuntas CF, Orhan AI. 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 (02) 133-140
- 18 Whitworth J. Methods of filling root canals: principles and practices. Endod Topics 2005; 12: 2-24
- 19 Schäfer E, Schrenker C, Zupanc J, Bürklein S. Percentage of gutta-percha filled areas in canals obturated with cross-linked gutta-percha core-carrier systems, single-cone and lateral compaction technique. J Endod 2016; 42 (02) 294-298
- 20 Jafari F, Rahimi S, Shahi S, Jafari S. Endodontic microleakage studies: correlation among different methods, clinical relevance, and potential laboratory errors. Minerva Stomatol 2017; 66 (04) 169-177
- 21 Wu MK, Wesselink PR. Endodontic leakage studies reconsidered. Part I. Methodology, application and relevance. Int Endod J 1993; 26 (01) 37-43
- 22 Wu MK, De Gee AJ, Wesselink PR, Moorer WR. Fluid transport and bacterial penetration along root canal fillings. Int Endod J 1993; 26 (04) 203-208
- 23 da Silva Neto UX, de Moraes IG, Westphalen VP, Menezes R, Carneiro E, Fariniuk LF. Leakage of 4 resin-based root-canal sealers used with a single-cone technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104 (02) e53-e57
- 24 Li GH, Niu LN, Selem LC. 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 (09) 1124-1134
- 25 Keleş A, Alcin H, Kamalak A, Versiani MA. Micro-CT evaluation of root filling quality in oval-shaped canals. Int Endod J 2014; 47 (12) 1177-1184
- 26 Weis MV, Parashos P, Messer HH. Effect of obturation technique on sealer cement thickness and dentinal tubule penetration. Int Endod J 2004; 37 (10) 653-663
- 27 Schäfer E, Köster M, Bürklein S. Percentage of gutta-percha-filled areas in canals instrumented with nickel-titanium systems and obturated with matching single cones. J Endod 2013; 39 (07) 924-928
- 28 Leoni GB, Versiani MA, Pécora JD, Damião de Sousa-Neto M. Micro-computed tomographic analysis of the root canal morphology of mandibular incisors. J Endod 2014; 40 (05) 710-716
- 29 Keçeci AD, Unal GC, Sen BH. Comparison of cold lateral compaction and continuous wave of obturation techniques following manual or rotary instrumentation. Int Endod J 2005; 38 (06) 381-388
- 30 Asawaworarit W, Yachor P, Kijsamanmith K, Vongsavan N. Comparison of the apical sealing ability of calcium silicate-based sealer and resin-based sealer using the fluid-filtration technique. Med Princ Pract 2016; 25 (06) 561-565
- 31 Huybrechts B, Bud M, Bergmans L, Lambrechts P, Jacobs R. Void detection in root fillings using intraoral analogue, intraoral digital and cone beam CT images. Int Endod J 2009; 42 (08) 675-685
- 32 Raina R, Loushine RJ, Weller RN, Tay FR, Pashley DH. Evaluation of the quality of the apical seal in Resilon/Epiphany and Gutta-Percha/AH Plus-filled root canals by using a fluid filtration approach. J Endod 2007; 33 (08) 944-947
- 33 Viapiana R, Flumignan DL, Guerreiro-Tanomaru JM, Camilleri J, Tanomaru-Filho M. Physicochemical and mechanical properties of zirconium oxide and niobium oxide modified Portland cement-based experimental endodontic sealers. Int Endod J 2014; 47 (05) 437-448
- 34 Zhou HM, Shen Y, Zheng W, Li L, Zheng YF, Haapasalo M. Physical properties of 5 root canal sealers. J Endod 2013; 39 (10) 1281-1286
- 35 Cañadas PS, Berástegui E, Gaton-Hernández P, Silva LA, Leite GA, Silva RS. Physicochemical properties and interfacial adaptation of root canal sealers. Braz Dent J 2014; 25 (05) 435-441
- 36 Hirai VHG, Machado R, Budziak MCL, Piasecki L, Kowalczuck A, Neto UXDS. Percentage of Gutta-Percha-, sealer-, and void-filled areas in oval-shaped root canals obturated with different filling techniques: a confocal laser scanning microscopy study. Eur J Dent 2020; 14 (01) 8-12