Yıl: 2021 Cilt: 6 Sayı: 4 Sayfa Aralığı: 331 - 336 Metin Dili: İngilizce DOI: 10.5152/cjms.2021.1863 İndeks Tarihi: 27-05-2022

Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus

Öz:
BACKGROUND/AIMS The aim of this in vitro study was to evaluate three different obturation techniques with two different root canal sealers for penetration into dentinal tubules using confocal laser scanning microscopy (CLSM). MATERIAL and METHODS Sixty root canals were prepared and divided into six groups (n ¼ 10): AH Plus þ single-cone technique, AH Plus þ lateral compaction, AH Plus þ continuous-wave technique, MTA Fillapex þ single-cone technique, MTA Fillapex þ lateral compaction, and MTA Fillapex þ continuous wave technique. Following the obturation of the root canals, the specimens were horizontally sectioned, and the sealer penetration percentage, depth, and area were measured at the apical and middle root areas using CLSM analysis. RESULTS The single-cone obturation technique exhibited lower penetration values than the continuous wave and lateral compaction techniques in the AH Plus groups (P < .05). No significant differences were observed between different obturation techniques in MTA Fillapex groups (P > .05). MTA Fillapex exhibited significantly higher penetration values than AH Plus in both the apical and the middle third area in terms of depth, area, and percentage (P < .05). CONCLUSION Within the limitations of this in vitro study, MTA Fillapex penetration into the dentinal tubules was not affected by the obturation technique. Using the lateral compaction and continuous wave techniques provided enhanced AH Plus penetration compared to the singlecone technique.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Zehnder M. Root canal irrigants. J Endod. 2006;32(5):389-398. [CrossRef]
  • 2. Peters LB, Van Winkelhoff AJ, Buijs JF, Wesselink PR. Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions. Int Endod J. 2002;35(1):13-21. [CrossRef]
  • 3. Love RM. Enterococcus faecalis—A mechanism for its role in endodontic failure. Int Endod J. 2001;34(5):399-405. [CrossRef]
  • 4. Love RM, Jenkinson HF. Invasion of dentinal tubules by oral bacteria. Crit Rev Oral Biol Med. 2002;13(2):171-183. [CrossRef]
  • 5. Whitworth J. Methods of filling root canals: Principles and practices. Endod Top. 2005;12(1):2-24. [CrossRef]
  • 6. Evans JT, Simon JH. Evaluation of the apical seal produced by injected thermoplasticized gutta-percha in the absence of smear layer and root canal sealer. J Endod. 1986;12(3):100-107.
  • 7. Jeong JW, DeGraft-Johnson A, Dorn SO, Di Fiore PM. Dentinal tubule penetration of a calcium silicate-based root canal sealer with different obturation methods. J Endod. 2017;43(4):633-637. [CrossRef]
  • 8. Kokkas AB, Boutsioukis AC, Vassiliadis LP, Stavriaos CK. The influence of the smear layer on dentinal tubule penetration depth by three different root canal sealers: An in vitro study. J Endod. 2004;30(2):100-102. [CrossRef]
  • 9. Mamootil K, Messer HH. Penetration of dentinal tubules by endodontic sealer cements in extracted teeth and in vivo. Int Endod J. 2007;40(1):873-881. [CrossRef]
  • 10. Chandra SS, Shankar P, Indira R. Depth of penetration of four resin sealers into radicular dentinal tubules: A confocal microscopic study. J Endod. 2012;38(10):1412-1416. [CrossRef]
  • 11. Marin-Bauza GA, Rached-Junior FJA, Sousa-Gabriel AE, et al. Physicochemical properties of methacrylate resin-based root canal sealers. J Endod. 2010;36(9):1531-1536. [CrossRef]
  • 12. Marciano MA, Guimara˜es BM, Ordinola-Zapata R, et al. Physical properties and interfacial adaptation of three epoxy resin-based sealers. J Endod. 2011;37(10):1417-1421. [CrossRef]
  • 13. Akcay M, Arslan H, Durmus N, Mese M, Capar ID. Dentinal tubule penetration of AH Plus, iRoot SP, MTA fillapex, and guttaflow bioseal root canal sealers after different final irrigation procedures: A confocal microscopic study. Lasers Surg Med. 2016;48(1):70-76. [CrossRef]
  • 14. El Hachem R, Khalil I, Le Brun G, et al. Dentinal tubule penetration of AH Plus, BC Sealer and a novel tricalcium silicate sealer: A confocal laser scanning microscopy study. Clin Oral Invest. 2019;23(4):1871-1876. [CrossRef]
  • 15. Torabinejad M, Parirokh M. Mineral trioxide aggregate: A comprehensive literature review—Part II: Leakage and biocompatibility investigations. J Endod. 2010;36(2):190-202. [CrossRef]
  • 16. De Deus GA, Gurgel-Filho ED, Maniglia-Ferreira C, Coulinho-Filho T. The influence of filling technique on depth of tubule penetration by root canal sealer: A study using light microscopy and digital image processing. Aust Endod J. 2004;30(1):23-28. [CrossRef]
  • 17. 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. [CrossRef]
  • 18. Kouvas V, Liolios E, Vassiliadis I, Parissis-Messimeris S, Boutsioukis A. Influence of smear layer on depth of penetration of three endodontic sealers: An SEM study. Endod Dent Traumatol. 2007;14(4):191-195. [CrossRef]
  • 19. Balguerie E, van der Sluis L, Vallaeys K, Gurgel-Georgelin M, Diemer F. Sealer penetration and adaptation in the dentinal tubules: A scanning electron microscopic study. J Endod. 2011;37(11):1576-1579. [CrossRef]
  • 20. Gharib SR, Tordik PA, Imamura GM, Baginski TA, Goodell GG. A confocal laser scanning microscope investigation of the epiphany obturation system. J Endod. 2007;33(8):957-961. [CrossRef]
  • 21. Kuc¸i A, Alac¸am T, Yavas O, Ergul-Ulger Z, Kayaoglu G. Sealer penetration into dentinal tubules in the presence or absence of smear layer: A confocal laser scanning microscopic study. J Endod. 2014;40(10):1627-1631. [CrossRef]
  • 22. Moon YM, Shon WJ, Baek SH, Bae KS, Kum KY, Lee W. Effect of final irrigation regimen on sealer penetration in curved root canals. J Endod. 2010;36(4):732-736. [CrossRef]
  • 23. Kok D, Da Rosa RA, Barreto MS, et al. Penetrability of AH plus and MTA fillapex after endodontic treatment and retreatment: A confocal laser scanning microscopy study. Microsc Res Tech. 2014;77(6):467-471. [CrossRef]
  • 24. Amoroso-Silva PA, Guimara˜es BM, Marciano MA, et al. Microscopic analysis of the quality of obturation and physical properties of MTA Fillapex. Microsc Res Tech. 2014;77(12):1031-1036. [CrossRef]
  • 25. Gunes B, Yeter KY, Terlemez A, Seker B, Altay Y. Dentinal tubule penetration of endodontic sealers after nonthermal plasma treatment: A confocal laser scanning microscopy study. Microsc Res Tech. 2019;82(6):903-908. [CrossRef]
  • 26. Huang Y, Orhan K, Celikten B, Orhan AI, Tufenkci P, Sevimay S. Evaluation of the sealing ability of different root canal sealers: A combined SEM and micro-CT study. J Appl Oral Sci. 2018;15(26):e20160584.
  • 27. Russell A, Friedlander L, Chandler N. Sealer penetration and adaptation in root canals with the butterfly effect. Aust Endod J. 2018;44(3):225-234. [CrossRef]
  • 28. Moodley D, Grobler SR, Rossouw RJ, Oberholzer TG, Patel N. in vitro evaluation of two adhesive systems used with compomer filling materials. Int Dent J. 2000;50(6):400-406. [CrossRef]
  • 29. Tuncer AK, Tuncer S. Effect of different final irrigation solutions on dentinal tubule penetration depth and percentage of root canal sealer. J Endod. 2012;38(6):860-863. [CrossRef]
  • 30. Aksel H, Ku¨c¸u¨kkaya Eren S, Puralı N, Serper A, Azim A. Efficacy of different irrigant protocols and application systems on sealer penetration using a stepwise CLSM analysis. Microsc Res Tech. 2017;80(12):1323-1327. [CrossRef]
  • 31. Aksel H, Arslan E, Puralı N, Uyanık O, Nagas E. Effect of ultrasonic activation on dentinal tubule penetration of calcium silicate-based cements. Microsc Res Tech. 2019;82(5):624-629. [CrossRef]
  • 32. Akcay M, Arslan H, Mese M, Durmus N, Capar ID. Effect of photoninitiated photoacoustic streaming, passive ultrasonic, and sonic irrigation techniques on dentinal tubule penetration of irrigation solution: A confocal microscopic study. Clin Oral Invest. 2017;21(7):2205-2212. [CrossRef]
  • 33. Aydın ZU, Ozyu¨rek T, Keskin B, Baran T. Effect of chitosan nanoparticle, QMix, and EDTA on TotalFill BC sealers’ dentinal tubule penetration: A confocal laser scanning microscopy study. Odontology. 2019;107(1):64-71. [CrossRef]
  • 34. Carrigan PJ, Morse DR, Furst ML, Sinai IH. A scanning electron microscopic evaluation of human dentinal tubules according to age and location. J Endod. 1984;10(8):359-363. [CrossRef]
  • 35. Ribeiro RG, Marchesan MA, Silva RG, Sousa-Neto MD, Pe´cora JD. Dentin permeability of the apical third in different groups of teeth. Braz Dent J. 2010;21(3):216-219. [CrossRef]
  • 36. Blank-Gonc¸alves LM, Nabeshima CK, Martins GH, de Lima Machado ME. Qualitative analysis of the removal of the smear layer in the apical third of curved roots: Conventional irrigation versus activation systems. J Endod. 2011;37(9):1268-1271. [CrossRef]
  • 37. De-Deus G, Branda˜o M, Leal F, et al. Lack of correlation between sealer penetration into dentinal tubules and sealability in nonbonded root fillings. Int Endod J. 2012;45:642-651. [CrossRef]
  • 38. Jardine AP, Da Rosa RA, Santini MF, et al. The effect of final irrigation on the penetrability of an epoxy resin-based sealer into dentinal tubules: A confocal microscopy study. Clin Oral Invest. 2016;20:117-123. [CrossRef]
APA Basmaci F, Küçük M, Aksoy U, Orhan K (2021). Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. , 331 - 336. 10.5152/cjms.2021.1863
Chicago Basmaci Fatma,Küçük Meltem,Aksoy Umut,Orhan Kaan Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. (2021): 331 - 336. 10.5152/cjms.2021.1863
MLA Basmaci Fatma,Küçük Meltem,Aksoy Umut,Orhan Kaan Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. , 2021, ss.331 - 336. 10.5152/cjms.2021.1863
AMA Basmaci F,Küçük M,Aksoy U,Orhan K Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. . 2021; 331 - 336. 10.5152/cjms.2021.1863
Vancouver Basmaci F,Küçük M,Aksoy U,Orhan K Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. . 2021; 331 - 336. 10.5152/cjms.2021.1863
IEEE Basmaci F,Küçük M,Aksoy U,Orhan K "Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus." , ss.331 - 336, 2021. 10.5152/cjms.2021.1863
ISNAD Basmaci, Fatma vd. "Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus". (2021), 331-336. https://doi.org/10.5152/cjms.2021.1863
APA Basmaci F, Küçük M, Aksoy U, Orhan K (2021). Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. Cyprus Journal of Medical Sciences, 6(4), 331 - 336. 10.5152/cjms.2021.1863
Chicago Basmaci Fatma,Küçük Meltem,Aksoy Umut,Orhan Kaan Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. Cyprus Journal of Medical Sciences 6, no.4 (2021): 331 - 336. 10.5152/cjms.2021.1863
MLA Basmaci Fatma,Küçük Meltem,Aksoy Umut,Orhan Kaan Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. Cyprus Journal of Medical Sciences, vol.6, no.4, 2021, ss.331 - 336. 10.5152/cjms.2021.1863
AMA Basmaci F,Küçük M,Aksoy U,Orhan K Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. Cyprus Journal of Medical Sciences. 2021; 6(4): 331 - 336. 10.5152/cjms.2021.1863
Vancouver Basmaci F,Küçük M,Aksoy U,Orhan K Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus. Cyprus Journal of Medical Sciences. 2021; 6(4): 331 - 336. 10.5152/cjms.2021.1863
IEEE Basmaci F,Küçük M,Aksoy U,Orhan K "Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus." Cyprus Journal of Medical Sciences, 6, ss.331 - 336, 2021. 10.5152/cjms.2021.1863
ISNAD Basmaci, Fatma vd. "Effect of Different Obturation Techniques on Dentinal Tubule Penetrations of MTA Fillapex and AH Plus". Cyprus Journal of Medical Sciences 6/4 (2021), 331-336. https://doi.org/10.5152/cjms.2021.1863