Effectiveness of gutta-percha and Resilon in filling lateral root canals using thermomechanical technique
Eficácia da guta-percha e Resilon na obturação de canais laterais usando técnica termomecânica
Tanomaru-Filho, Mário; Bosso, Roberta; Santanna-Júnior, Arnaldo; Berbert, Fábio Luiz Camargo Villela; Guerreiro-Tanomaru, Juliane Maria
http://dx.doi.org/10.1590/S1807-25772013000100007
Rev. odontol. UNESP, vol.42, n1, p.37-41, 2013
Abstract
The aim of this study was to evaluate the effectiveness of gutta-percha and Resilon in filling lateral root canals in cervical, middle, and apical third using a thermomechanical technique. Material and method: Root canals of artificial teeth were prepared using a standard preparation. The lateral canals were fabricated using a 0.3-mm‑diameter bur at 3 parts of each root. By using Tagger’s hybrid technique with a McSpadden thermomechanical compactor, the root canal was filled using the following filling materials: Dentsply gutta-percha, Endopoint gutta‑percha, and Resilon cones. The root canal fillings were evaluated using digitized radiographs and the Image Tool software. The percentage of filled area of each lateral canal was determined. The data were subjected to analysis of variance (ANOVA) and Tukey tests at a 5% significance level. Result: Resilon showed better effectiveness as a filling material. When the three thirds were compared, Resilon was more effective in the apical third than in the cervical third (p < 0.05). Conclusion: Resilon is an effective filling material for lateral root canals using a thermomechanical technique.
Keywords
Endodontics, gutta-percha, root canal filling.
Resumo
O objetivo do estudo foi avaliar a efetividade da guta-percha e Resilon no preenchimento de canais laterais nos terços cervical, médio e apical radicular quando utilizada a técnica termomecânica. Material e método: Canais radiculares de dentes artificiais foram preparados utilizando um método padrão. Canais laterais foram confeccionados utilizando broca com 0,3 mm de diâmetro nos três terços radiculares. Os canais radiculares foram obturados pela técnica híbrida de Tagger utilizando-se o compactador de McSpadden. Foi avaliado o preenchimento dos canais laterais pelos seguintes materiais: cones de guta-percha Dentsply, guta-percha Endopoint e Resilon. A avaliação foi realizada por meio da análise de radiografias digitalizadas usando o programa Image Tool. A porcentagem da área preenchida pela área total de cada canal lateral foi determinada. Os dados foram submetidos à análise de variância (ANOVA) e teste de Tukey com nível de significância de 5%. Resultado: O Resilon mostrou melhor efetividade como material de preenchimento. Na comparação entre os terços, o Resilon foi mais efetivo no terço apical que no cervical (p < 0,05). Conclusão: O Resilon foi o material mais efetivo para o preenchimento dos canais laterais quando utilizada a técnica termoplástica.
Palavras-chave
Endodontia, guta-percha, obturação do canal radicular.
References
1. Akman M, Akman S, Derinbay O, Belli S. Evaluation of gaps or voids occurring in roots filled with three different sealers. Eur J Dent. 2010;4:101-9. PMid:20396439 PMCid:2853831.
2. Bertacci A, Baroni C, Breschi L, Venturi M, Prati C. The influence of smear layer in lateral channels filling. Clin Oral Investig. 2007;11:353-9. PMid:17574482. http://dx.doi.org/10.1007/s00784-007-0127-y
3. Venturi M, Di Lenarda R, Breschi L. An ex vivo comparison of three different gutta-percha cones when compacted at different temperatures: rheological considerations in relation to the filling of lateral canals. Int Endod J. 2006;39:648-56. PMid:16872460. http://dx.doi.org/10.1111/j.1365-2591.2006.01133.x
4. Geurtsen W, Leyhausen G. Biological aspects of root canal filling materials-histocompatibility, cytotoxicity, and mutagenicity. Clin Oral Investig. 1997;1:5-11. http://dx.doi.org/10.1007/s007840050002
5. Holland R, Manne LN, de Souza V, Murata SS, Dezan Júnior E. Periapical tissue healing after post space preparation with or without use of a protection plug and root canal exposure to the oral environment. Study in dogs. Braz Dent J. 2007;4:281-8. http://dx.doi.org/10.1590/S0103-64402007000400002
6. Silveira AM, Lopes HP, Siqueira JF Jr, Macedo SB, Consolaro A. Periradicular repair after two-visit endodontic treatment using two different intracanal medications compared to single-visit endodontic treatment. Braz Dent J. 2007;18:299-304. PMid:18278299. http://dx.doi.org/10.1590/S0103-64402007000400005
7. Gençoḡlu N, Oruçoḡlu H, Helvacıoḡlu D. Apical Leakage of Different Gutta-Percha Techniques: Thermafil, Js Quick-Fill, Soft Core, Microseal, System B and Lateral Condensation with a Computerized Fluid Filtration Meter. Eur J Dent. 2007;1:97-103. PMid:19212484 PMCid:2609951.
8. Dultra F, Barroso JM, Carrasco LD, Capelli A, Guerisoli DMZ, Pécora JD. Evaluation of apical microleakage of teeth sealed with four different root canal sealers. J Appl Oral Sci. 2006;14:341-5. PMid:19089055. http://dx.doi.org/10.1590/S1678-77572006000500008
9. Tagger M, Gold A. Flow of various brands of gutta-percha cones under in vitro thermomechanical compactation. J Endod. 1988;14:115-20. http://dx.doi.org/10.1016/S0099-2399(88)80210-3
10. Jarrett IS, Marx D, Covey D, Karmazin M, Lavin M, Gound T. Percentage of canals filled in apical cross sections - an in vitro study of seven obturation techniques. Int Endod J. 2004;37:392-8. PMid:15186246. http://dx.doi.org/10.1111/j.1365-2591.2004.00821.x
11. Miner MR, Berzins DW, Bahcall JK. A comparison of thermal properties between gutta-percha and a synthetic polymer based root canal filling material (Resilon). J Endod. 2006;32:683-6. PMid:16793481. http://dx.doi.org/10.1016/j.joen.2006.01.008
12. Barroso JM, Carrasco LD, Capelli A, Guerisoli DMZ, Saquy PC, Pécora JD. Influence of gutta-percha points on the filling of simulated lateral canals. J Appl Oral Sci. 2005;13:176-9. PMid:20924545. http://dx.doi.org/10.1590/S1678-77572005000200016
13. Moeller L, Wenzel A, Wegge-larsen AM, Ding M, Kirkevang L. Quality of root fillings performed with two root filling techniques. An in vitro study using micro-CT. Acta Odontol Scand. 2012;1-8. PMid:23145468. http://dx.doi.org/10.3109/00016357.2012.715192
14. Gencoglu N, Yildirim T, Garip Y, Karagenc B, Yilmaz H. Effectiveness of different gutta-percha techniques when filling experimental internal resorptive cavities. Int Endod J. 2008;41:836-42. PMid:18822011. http://dx.doi.org/10.1111/j.1365-2591.2008.01434.x
15. Carvalho-Sousa B, Almeida-Gomes F, Carvalho PR, Maníglia-Ferreira C, Gurgel-Filho ED, Albuquerque DS. Filling lateral canals: evaluation of different filling techniques. Eur J Dent. 2010;4:251-6. PMid:20613912 PMCid:2897857.
16. Venturi M. An ex vivo evaluation of a gutta-percha filling technique when used with two endodontic sealers: analysis of the filling of main and lateral canals. J Endod. 2008;34:1105-10. PMid:18718375. http://dx.doi.org/10.1016/j.joen.2008.06.017
17. Tanomaru-Filho M, Sant'Anna Junior A, Berbert FLCV, Bosso R, Guerreiro-Tanomaru JM. Ability of gutta-percha and Resilon to fill simulated lateral canals by using the Obtura II System. J Endod. 2012;38:676-9. PMid:22515901. http://dx.doi.org/10.1016/j.joen.2012.01.007
18. Tanomaru-Filho M, Sant'Anna-Junior A, Bosso R, Guerreiro-Tanomaru JM. Effectiveness of gutta-percha and Resilon in filling lateral root canals using the Obtura II System. Braz Oral Res. 2011;25:205-9. PMid:21670852. http://dx.doi.org/10.1590/S1806-83242011000300003
19. Kolokuris I, Arvanitoyannis I, Blanshard JMV, Robinson C. Thermal analysis of commercial gutta-percha using differential scanning colorimeter and dynamic mechanical thermal analysis. J Endod. 1992;18:4-9. http://dx.doi.org/10.1016/S0099-2399(06)81134-9
20. Tanomaru-Filho M, Silveira GF, Reis JMSN, Bonetti- Filho I, Guerreiro-Tanomaru JM. Effect of compression load and temperature on thermomechanical tests for gutta-percha and Resilon. Int Endod J. 2011;44:1019-23. PMid:21790663. http://dx.doi.org/10.1111/j.1365-2591.2011.01910.x
21. Tanomaru-Filho M, Silveira GF, Tanomaru JM, Bier CA. Evaluation of the thermoplasticity of different gutta-percha cones and Resilon. Aust Endod J. 2007;33:23-6. PMid:17461837. http://dx.doi.org/10.1111/j.1747-4477.2007.00063.x
22. Zhang C, Huang W, Sun Z, Hou B. Acomparison of two gutta-percha master points consisting of different phases in filling of artificial lateral canals and depressions in the apical region of root canals when using a warm vertical compaction technique. Int Endod J. 2011;44:1041-6. PMid:21906086. http://dx.doi.org/10.1111/j.1365-2591.2011.01919.x
23. Maniglia-Ferreira C, Gurgel-Filho ED, Silva JB Jr, Paula RC, Feitosa JP, Gomes BP, et al. Brazilian gutta-percha points. Part II: thermal properties. Braz Oral Res. 2007;21:29-34. PMid:17384852. http://dx.doi.org/10.1590/S1806-83242007000100005
24. Gurgel-Filho ED, Feitosa JPA, Gomes BPFA, Ferraz CCR, Souza Filho FJ, Teixeira FB. Assessment of different gutta-percha brands during the filling of simulated lateral canals. Int Endod J. 2006;39:113-8. PMid:16454791. http://dx.doi.org/10.1111/j.1365-2591.2006.01054.x
25. Tanomaru-Filho M, Bier CA, Tanomaru JM, Barros DB. Evaluation of the thermoplasticity of different gutta-percha cones and the TC system. J Appl Oral Sci. 2007;15:131-4. PMid:19089116. http://dx.doi.org/10.1590/S1678-77572007000200011
26. McSpadden JT. Self-study course for the thermatic condensation of gutta-percha. Toledo: Ramson & Randolph; 1978.
27. Tagger M, Tamse A, Katz A, Korzen BH. Evaluation of the apical seal produced by a hybrid root canal filling method, combining lateral condensation and thermatic compaction. J Endod. 1984;10:299-303. http://dx.doi.org/10.1016/S0099-2399(84)80183-1
28. Sant´Anna-Júnior A, Tanomaru-Filho M, Hungaro Duarte MA, Santos Nunes Reis JM, Guerreiro-Tanomaru JM. Temperature changes in gutta-percha and Resilon cones induced by a thermomechanical compaction technique. J Endod. 2009;35:879-82. PMid:19482190. http://dx.doi.org/10.1016/j.joen.2009.03.009
29. Weller RN, Kimbrough WF, Anderson RW. A comparison of thermoplastic obturation techniques: adaptation to the canal walls. J Endod. 1997;23:703-6. http://dx.doi.org/10.1016/S0099-2399(97)80406-2
30. Goldberg F, Artaza LP, Silvio A. Effectiveness of different obturation techniques in the filling of simulated lateral canals. J Endod. 2001;27:362-4. PMid:11485258. http://dx.doi.org/10.1097/00004770-200105000-00015
31. Karabucak B, Kim A, Chen V, Iqbal MK. The comparison of gutta-percha and Resilon penetration into lateral canals with different thermoplastic delivery systems. J Endod. 2008;34:847-9. PMid:18570993. http://dx.doi.org/10.1016/j.joen.2008.03.024
32. Almeida JFA, Gomes BPFA, Ferraz CCR, Souza-Filho FJ, Zaia AA. Filling of artificial lateral canals and microleakage and flow of five endodontic sealers. Int Endod J. 2007;40:692-9. PMid:17608677. http://dx.doi.org/10.1111/j.1365-2591.2007.01268.x
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email