Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.11219
Revista de Odontologia da UNESP
Original Article

Evaluation of flow and filling of root canal sealers using different methodologies

Avaliação do escoamento e preenchimento de cimentos obturadores utilizando diferentes metodologias

Fernanda Ferrari Esteves TORRES; Juliane Maria GUERREIRO-TANOMARU; Jader Camilo PINTO; Idomeo BONETTI-FILHO; Mário TANOMARU-FILHO

Downloads: 0
Views: 493

Abstract

Abstract: Introduction: Flow and filling ability of root canal sealers are indispensable for hermetic sealing of the root canal. Micro-computed tomography (micro-CT) can be used as a complementary methodology to evaluate such properties.

Objective: To evaluate the flow and filling ability of AH Plus, Endofill and Sealapex by conventional methodology and micro-CT.

Material and method: The flow of the sealers was analyzed according to ISO 6876/2012 and complemented by the area evaluation. Glass plates were manufactured with diameters of 1×1×2 mm and 1×1×1 mm (length, width and height), with a central cavity and four grooves in the horizontal and vertical directions. Each material was placed in the central cavity. Another glass plate and a metal weight were placed on the cement and kept for 10 minutes. The glass plate/sealer set was scanned using micro-CT. The flow was calculated by linear measurement of the material in the grooves. The central filling (mm3) was calculated in the central cavity and the lateral filling was measured up to 2 mm from the central cavity. Data were submitted to ANOVA/Tukey tests (α=0.05).

Result: All evaluated sealers presented flow according to ISO 6876 standards. The materials showed central cavity filling capacity higher than 80% and lateral filling greater than 75%. There was no difference in flow (mm and mm2) and in the filling ability (mm3) provided by the materials (p>0.05).

Conclusion: All evaluated root canal sealers showed adequate flow and filling capacity, suggesting their clinical application.

Keywords

Endodontics, dental materials, X-ray microtomography

Resumo

Resumo: Introdução: Escoamento e capacidade de preenchimento de cimentos obturadores são indispensáveis para um selamento hermético do canal radicular. Microtomografia computadorizada (micro-CT) pode ser utilizada como uma metodologia complementar para avaliação de tais propriedades.

Objetivo: Avaliar escoamento e capacidade de preenchimento de AH Plus, Endofill e Sealapex, por meio de metodologia convencional e micro-CT.

Material e método: O escoamento dos cimentos foi analisado de acordo com as normas ISO 6876/2012 e complementado pela avaliação em área. Placas de vidro foram confeccionadas nos diâmetros de 1×1×2 mm e 1×1×1 mm (comprimento, largura e altura), com uma cavidade central e quatro canaletas nas direções horizontal e vertical. Cada material foi colocado na cavidade central. Outra placa de vidro e um peso de metal foram colocados sobre o cimento e mantidos por 10 minutos. O conjunto placa de vidro/cimento foi escaneado usando micro-CT. O escoamento foi calculado por medição linear do material nas canaletas. O preenchimento (mm3) central foi calculado na cavidade central e o preenchimento lateral foi medido até 2 mm a partir da cavidade central. Os dados foram submetidos aos testes ANOVA/Tukey (α=0.05).

Resultado: Todos os cimentos avaliados apresentaram escoamento de acordo com as normas ISO 6876. Os materiais mostraram capacidade de preenchimento da cavidade central superior a 80% e preenchimento lateral superior a 75%. Não houve diferença no escoamento (mm e mm2) e na capacidade de preenchimento (mm3) proporcionada pelos materiais (p>0.05).

Conclusão: Todos os cimentos obturadores avaliados mostraram adequado escoamento e capacidade de preenchimento, sugerindo a aplicação clínica dos mesmos.
 

Palavras-chave

Endodontia, materiais dentários, microtomografia por raio-X

References

1 Celikten B, Jacobs R, Vasconcelos KF, Huang Y, Shaheen E, Nicolielo LFP, et al. Comparative evaluation of cone beam CT and micro-CT on blooming artifacts in human teeth filled with bioceramic sealers. Clin Oral Investig. 2019 Aug;23(8):3267-73. http://dx.doi.org/10.1007/s00784-018-2748-8. PMid:30488119.

2 Uzunoglu-Özyürek E, Kucukkaya Eren S, Karahan S. Effect of root canal sealers on the fracture resistance of endodontically treated teeth: a systematic review of in vitro studies. Clin Oral Investig. 2018 Sep;22(7):2475-85. http://dx.doi.org/10.1007/s00784-018-2540-9. PMid:29951975.

3 Schilder H. Filling root canals in three dimensions. J Endod. 2006 Apr;32(4):281-90. http://dx.doi.org/10.1016/j.joen.2006.02.007. PMid:16554195.

4 Torres FFE, Guerreiro-Tanomaru JM, Bosso-Martelo R, Espir CG, Camilleri J, Tanomaru-Filho M. Solubility, porosity, dimensional and volumetric change of endodontic sealers. Braz Dent J. 2019 Jul;30(4):368-73. http://dx.doi.org/10.1590/0103-6440201902607. PMid:31340227.

5 Carneiro SM, Sousa-Neto MD, Rached FA Jr, Miranda CE, Silva SR, Silva-Sousa YT. Push-out strength of root fillings with or without thermomechanical compaction. Int Endod J. 2012 Sep;45(9):821-8. http://dx.doi.org/10.1111/j.1365-2591.2012.02039.x. PMid:22458910.

6 International Organization for Standardization – ISO. ISO 6876: dental root canal sealing materials. Geneva: ISO; 2012.

7 Tanomaru-Filho M, Torres FFE, Bosso-Martelo R, Chavez-Andrade GM, Bonetti-Filho I, Guerreiro-Tanomaru JM. A novel model for evaluating the flow of endodontic materials using micro-computed tomography. J Endod. 2017 May;43(5):796-800. http://dx.doi.org/10.1016/j.joen.2016.12.002. PMid:28268019.

8 Bueno CR, Valentim D, Marques VA, Gomes-Filho JE, Cintra LT, Jacinto RC, et al. Biocompatibility and biomineralization assessment of bioceramic-, epoxy-, and calcium hydroxide-based sealers. Braz Oral Res. 2016 Jun;30(1):S1806-83242016000100267. http://dx.doi.org/10.1590/1807-3107BOR-2016.vol30.0081. PMid:27305513.

9 Cintra LTA, Benetti F, de Azevedo Queiroz IO, Ferreira LL, Massunari L, Bueno CRE, et al. Evaluation of the cytotoxicity and biocompatibility of new resin epoxy-based endodontic sealer containing calcium hydroxide. J Endod. 2017 Dec;43(12):2088-92. http://dx.doi.org/10.1016/j.joen.2017.07.016. PMid:29032822.

10 Silva Almeida LH, Moraes RR, Morgental RD, Pappen FG. Are premixed calcium silicate-based endodontic sealers comparable to conventionaln materials? A systematic review of in vitro studies. J Endod. 2017 Apr;43(4):527-35. http://dx.doi.org/10.1016/j.joen.2016.11.019. PMid:28216270.

11 Cavalcanti AL, Limeira FI, Sales EA, Oliveira AA, Lima DM, Castro RD. In vitro antimicrobial activity of root canal sealers and calcium hydroxide paste. Contemp Clin Dent. 2010 Jul;1(3):164-7. http://dx.doi.org/10.4103/0976-237X.72784. PMid:22114408.

12 Tanomaru-Filho M, Cristine Prado M, Torres FFE, Viapiana R, Pivoto-João MMB, Guerreiro-Tanomaru JM. Physicochemical properties and bioactive potential of a new epoxy resin-based root canal sealer. Braz Dent J. 2019 Nov-Dec;30(6):563-8. http://dx.doi.org/10.1590/0103-6440201802861. PMid:31800750.

13 Marin-Bauza GA, Silva-Sousa YT, Cunha SA, Rached-Junior FJ, Bonetti-Filho I, Sousa-Neto MD, et al. Physicochemical properties of endodontic sealers of different bases. J Appl Oral Sci. 2012 Jul-Aug;20(4):455-61. http://dx.doi.org/10.1590/S1678-77572012000400011. PMid:23032208.

14 Tanomaru-Filho M, Silveira GF, Tanomaru JM, Bier CA. Evaluation of the thermoplasticity of different gutta-percha cones and Resilon. Aust Endod J. 2007 Apr;33(1):23-6. http://dx.doi.org/10.1111/j.1747-4477.2007.00063.x. PMid:17461837.

15 Duarte MA, Ordinola-Zapata R, Bernardes RA, Bramante CM, Bernardineli N, Garcia RB, et al. Influence of calcium hydroxide association on the physical properties of AH Plus. J Endod. 2010 Jun;36(6):1048-51. http://dx.doi.org/10.1016/j.joen.2010.02.007. PMid:20478463.

16 Baras BH, Melo MAS, Sun J, Oates TW, Weir MD, Xie X, et al. Novel endodontic sealer with dual strategies of dimethylaminohexadecyl methacrylate and nanoparticles of silver to inhibit root canal biofilms. Dent Mater. 2019 Aug;35(8):1117-29. http://dx.doi.org/10.1016/j.dental.2019.05.014. PMid:31128937.

17 Baras BH, Wang S, Melo MAS, Tay F, Fouad AF, Arola DD, et al. Novel bioactive root canal sealer with antibiofilm and remineralization properties. J Dent. 2019 Apr;83:67-76. http://dx.doi.org/10.1016/j.jdent.2019.02.006. PMid:30825569.

18 Bernardes RA, Campelo AA, Silva DS Jr , Pereira LO, Duarte MA, Moraes IG, et al. Evaluation of the flow rate of 3 endodontic sealers: Sealer 26, AH Plus, and MTA Obtura. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jan;109(1):e47-9. http://dx.doi.org/10.1016/j.tripleo.2009.08.038. PMid:20123369.

19 Chang SW, Lee YK, Zhu Q, Shon WJ, Lee WC, Kum KY, et al. Comparison of the rheological properties of four root canal sealers. Int J Oral Sci. 2015 Mar;7(1):56-61. http://dx.doi.org/10.1038/ijos.2014.33. PMid:25059248.

20 Huang Y, Celikten B, Vasconcelos KF, Nicolielo LFP, Lippiatt N, Buyuksungur A, et al. Micro-CT and nano-CT analysis of filling quality of three different endodontic sealers. Dentomaxillofac Radiol. 2017 Dec;46(8):20170223. http://dx.doi.org/10.1259/dmfr.20170223. PMid:28845679.

21 Araujo VL, Souza-Gabriel AE, Cruz AM Fo, Pecora JD, Silva RG. Volume of sealer in the apical region of teeth filled by different techniques: a micro-CT analysis. Braz Oral Res. 2016;30(1):e27. http://dx.doi.org/10.1590/1807-3107BOR-2016.vol30.0027. PMid:27050936.
 

5e3d9d0f0e8825484d4adb1b rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections