RSS-Feed abonnieren

DOI: 10.1055/s-0044-1788319
Effectiveness of Sectioning Method and Filling Materials on Roughness and Cell Attachments in Root Resection Procedure

Abstract
Objectives The purpose of the present study was to investigate the created roughness and cell attachment of intact teeth (C), obturated teeth with bioceramic (BR), or epoxy resin (AH) after root resection using piezoelectric ultrasonic and carbide bur.
Materials and Methods Three groups of first mandibular premolars were used in the present study: control group (without any preparation or obturation) (C); second group was obturated with an epoxy resin sealer (AH, AH Plus Jet); and finally, the third one was obturated with a bioceramic sealer (BR, BioRoot RCS). All teeth were incubated for 4 months at 37°C. After that, the samples were sectioned using tungsten carbide bur or piezoelectric ultrasonic. Roughness and then cell attachment of periodontal ligament cells on the sectioned surfaces were investigated by profilometer and confocal microscope, respectively.
Statistical Analysis Data were statistically analyzed using one-way analysis of variance.
Results After root resection, no significant difference was found between the roughness among the three groups sectioned using the piezoelectric technique (p > 0.05). In contrast, concerning the sectioned samples by burs, C demonstrated a rougher surface compared with BR (p < 0.05). There was a significant higher cell attachment in BR compared with AH in the piezoelectric groups (p = 0.047), while no statistically significant difference was found between the groups sectioned with bur (p > 0.05).
Conclusion Dentists are now focused on the use of calcium silicate-based sealers due to their bioactivity. The present study advises dentists to use bioceramic sealer which could improve the dentin characteristics which ameliorate the cell attachment.
* These authors contribute equally to this work.
Publikationsverlauf
Artikel online veröffentlicht:
19. Juli 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Cohen S, Burns RC. Pathways of the Pulp. 6th ed.. St. Louis: Mosby; 1994: 753
- 2 Lin CP, Chen YJ, Lee YL. et al. Effects of root-end filling materials and eugenol on mitochondrial dehydrogenase activity and cytotoxicity to human periodontal ligament fibroblasts. J Biomed Mater Res B Appl Biomater 2004; 71 (02) 429-440
- 3 Hsu YY, Kim S. The resected root surface. The issue of canal isthmuses. Dent Clin North Am 1997; 41 (03) 529-540
- 4 Morfis A, Sylaras SN, Georgopoulou M, Kernani M, Prountzos F. Study of the apices of human permanent teeth with the use of a scanning electron microscope. Oral Surg Oral Med Oral Pathol 1994; 77 (02) 172-176
- 5 Haapasalo M, Endal U, Zandi H, Coil JM. Eradication of endodontic infection by instrumentation and irrigation solutions. Endod Topics 2005; 10 (01) 77-102
- 6 Park E, Shen Y, Haapasalo M. Irrigation of the apical root canal: irrigation of the apical root canal. Endod Topics 2012; 27 (01) 54-73
- 7 Sundqvist G, Figdor D, Persson S, Sjögren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85 (01) 86-93
- 8 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
- 9 Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in endodontics. Int Endod J 2009; 42 (04) 288-302
- 10 Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006; 32 (07) 601-623
- 11 Bernardes RA, Húngaro Duarte MA, Vivan RR, Baldi JV, Vasconcelos BC, Bramante CM. Scanning electronic microscopy analysis of the apical surface after of root-end resection with different methods. Scanning 2015; 37 (02) 126-130
- 12 Abedi HR, Van Mierlo BL, Wilder-Smith P, Torabinejad M. Effects of ultrasonic root-end cavity preparation on the root apex. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 80 (02) 207-213
- 13 Brent PD, Morgan LA, Marshall JG, Baumgartner JC. Evaluation of diamond-coated ultrasonic instruments for root-end preparation. J Endod 1999; 25 (10) 672-675
- 14 Kwak SW, Moon YM, Yoo YJ, Baek SH, Lee W, Kim HC. Cutting efficiency of apical preparation using ultrasonic tips with microprojections: confocal laser scanning microscopy study. Restor Dent Endod 2014; 39 (04) 276-281
- 15 Tawil PZ. Periapical microsurgery: can ultrasonic root-end preparations clinically create or propagate dentinal defects?. J Endod 2016; 42 (10) 1472-1475
- 16 Ayranci F, Ayranci LB, Arslan H, Omezli MM, Topcu MC. Assessment of root surfaces of apicected teeth: a scanning electron microscopy evaluation. Niger J Clin Pract 2015; 18 (02) 198-202
- 17 Bernardes RA, de Souza Junior JV, Duarte MA, de Moraes IG, Bramante CM. Ultrasonic chemical vapor deposition-coated tip versus high- and low-speed carbide burs for apicoectomy: time required for resection and scanning electron microscopy analysis of the root-end surfaces. J Endod 2009; 35 (02) 265-268
- 18 Ekici Ö, Aslantaş K, Kanık Ö, Keleş A. Evaluation of surface roughness after root resection: an optical profilometer study. Microsc Res Tech 2021; 84 (04) 828-836
- 19 Duarte MA, Domingues R, Matsumoto MA, Padovan LE, Kuga MC. Evaluation of apical surface roughness after root resection: a scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104 (06) e74-e76
- 20 Al-Nazhan S. SEM observations of the attachment of human periodontal ligament fibroblasts to non-demineralized dentin surface in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97 (03) 393-397
- 21 Balto H, Al-Nazhan S. Attachment of human periodontal ligament fibroblasts to 3 different root-end filling materials: scanning electron microscope observation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95 (02) 222-227
- 22 Fujii T, Iwai H, Kowashi Y, Matsuo A, Yajima T, Kato H. [Connective tissue attachment to root surfaces in periodontal disease. Initial attachment of human gingival fibroblasts]. Nippon Shishubyo Gakkai Kaishi 1989; 31 (01) 176-183
- 23 Kharouf N, Arntz Y, Eid A. et al. Physicochemical and antibacterial properties of novel, premixed calcium silicate-based sealer compared to powder-liquid bioceramic sealer. J Clin Med 2020; 9 (10) 3096
- 24 Farrayeh A, Akil S, Eid A. et al. Effectiveness of two endodontic instruments in calcium silicate-based sealer retreatment. Bioengineering (Basel) 2023; 10 (03) 362
- 25 Kharouf N, Sauro S, Eid A. et al. Physicochemical and mechanical properties of premixed calcium silicate and resin sealers. J Funct Biomater 2022; 14 (01) 9
- 26 Yoo JS, Chang SW, Oh SR. et al. Bacterial entombment by intratubular mineralization following orthograde mineral trioxide aggregate obturation: a scanning electron microscopy study. Int J Oral Sci 2014; 6 (04) 227-232
- 27 Kharouf N, Pedullà E, Plotino G. et al. Stronger than ever: multifilament fiberglass posts boost maxillary premolar fracture resistance. J Clin Med 2023; 12 (08) 2975
- 28 Ashi T, Richert R, Mancino D. et al. Do the mechanical properties of calcium-silicate-based cements influence the stress distribution of different retrograde cavity preparations?. Materials (Basel) 2023; 16 (08) 3111
- 29 Ashi T, Mancino D, Hardan L. et al. Physicochemical and antibacterial properties of bioactive retrograde filling materials. Bioengineering (Basel) 2022; 9 (11) 624
- 30 Hachem CE, Chedid JCA, Nehme W. et al. Physicochemical and antibacterial properties of conventional and two premixed root canal filling materials in primary teeth. J Funct Biomater 2022; 13 (04) 177
- 31 Kharouf N, Sauro S, Hardan L, Haikel Y, Mancino D. Special issue “recent advances in biomaterials and dental disease” part I. Bioengineering (Basel) 2023; 10 (01) 55
- 32 Kharouf N, Sauro S, Hardan L. et al. Impacts of resveratrol and pyrogallol on physicochemical, mechanical and biological properties of epoxy-resin sealers. Bioengineering (Basel) 2022; 9 (03) 85
- 33 Chopra V, Davis G, Baysan A. Physico-chemical properties of calcium-silicate vs. resin based sealers-a systematic review and meta-analysis of laboratory-based studies. Materials (Basel) 2021; 15 (01) 229
- 34 Molven O, Halse A, Grung B. Surgical management of endodontic failures: indications and treatment results. Int Dent J 1991; 41 (01) 33-42
- 35 Vercellotti T, De Paoli S, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodontics Restorative Dent 2001; 21 (06) 561-567
- 36 Camargo Villela Berbert FL, de Faria-Júnior NB, Tanomaru-Filho M. et al. An in vitro evaluation of apicoectomies and retropreparations using different methods. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110 (04) e57-e63
- 37 Özdemir O, Kopac T. Cytotoxicity and biocompatibility of root canal sealers: a review on recent studies. J Appl Biomater Funct Mater 2022; 20: 22 808000221076325
- 38 Park JH, Kim HJ, Lee KW, Yu MK, Min KS. Push-out bond strength and intratubular biomineralization of a hydraulic root-end filling material premixed with dimethyl sulfoxide as a vehicle. Restor Dent Endod 2023; 48 (01) e8
- 39 Bae WJ, Chang SW, Lee SI, Kum KY, Bae KS, Kim EC. Human periodontal ligament cell response to a newly developed calcium phosphate-based root canal sealer. J Endod 2010; 36 (10) 1658-1663
- 40 Fayad MI, Hawkinson R, Daniel J, Hao J. The effect of CO2 laser irradiation on PDL cell attachment to resected root surfaces. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97 (04) 518-523