Effectiveness of Various Final Irrigation Techniques on Sealer Penetration in Curved Roots: A Confocal Laser Scanning Microscopy Study

Objective. To compare the efficacy of various techniques used for final irrigation on sealer penetration in the apical one-third of curved root canals. Material and Methods. Sixty-five freshly extracted maxillary first molar teeth with mesiobuccal roots having more than 20° of root curvature were us...

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Veröffentlicht in:BioMed research international 2020, Vol.2020, p.8060489-7, Article 8060489
Hauptverfasser: Yilmaz, Ayca, Yalcin, Turgut Y., Helvacioglu-Yigit, Dilek
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Yalcin, Turgut Y.
Helvacioglu-Yigit, Dilek
description Objective. To compare the efficacy of various techniques used for final irrigation on sealer penetration in the apical one-third of curved root canals. Material and Methods. Sixty-five freshly extracted maxillary first molar teeth with mesiobuccal roots having more than 20° of root curvature were used. The root canals were instrumented and randomly divided into four experimental groups and one control group. In the 4 experimental groups, 3 ml of 17% EDTA followed by 3 ml of 5.25% NaOCl was delivered with the use of the following protocols: Group 1: manual dynamic activation (MDA), Group 2: sonic irrigation (SI), Group 3: passive ultrasonic irrigation (PUI), and Group 4: conventional needle irrigation (CI). All teeth were obturated with gutta-percha and AH Plus sealer labeled with fluorescent dye. Transverse sections at 2 mm and 4 mm distance from the root apex were examined with the aid of confocal laser scanning microscopy. Total percentage (%) and maximum depth (μm) of sealer penetration were measured. Results. All the experimental groups exhibited significantly higher penetration rates than the control group at both sections (p0.05). Conclusion. PUI, SI, and MDA did not significantly improve sealer penetration in the apical portion of curved root canals when compared to conventional needle irrigation.
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To compare the efficacy of various techniques used for final irrigation on sealer penetration in the apical one-third of curved root canals. Material and Methods. Sixty-five freshly extracted maxillary first molar teeth with mesiobuccal roots having more than 20° of root curvature were used. The root canals were instrumented and randomly divided into four experimental groups and one control group. In the 4 experimental groups, 3 ml of 17% EDTA followed by 3 ml of 5.25% NaOCl was delivered with the use of the following protocols: Group 1: manual dynamic activation (MDA), Group 2: sonic irrigation (SI), Group 3: passive ultrasonic irrigation (PUI), and Group 4: conventional needle irrigation (CI). All teeth were obturated with gutta-percha and AH Plus sealer labeled with fluorescent dye. Transverse sections at 2 mm and 4 mm distance from the root apex were examined with the aid of confocal laser scanning microscopy. Total percentage (%) and maximum depth (μm) of sealer penetration were measured. Results. All the experimental groups exhibited significantly higher penetration rates than the control group at both sections (p&lt;0.05). However, no significant differences were found in the penetration depth and percentage among the four experimental groups evaluated at both sections (p&gt;0.05). Conclusion. PUI, SI, and MDA did not significantly improve sealer penetration in the apical portion of curved root canals when compared to conventional needle irrigation.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/8060489</identifier><identifier>PMID: 32352008</identifier><language>eng</language><publisher>LONDON: Hindawi</publisher><subject>Biotechnology &amp; Applied Microbiology ; Confocal microscopy ; Dental roots ; Dentin ; Dentistry ; Endodontics ; Ethylenediaminetetraacetic acid ; Ethylenediaminetetraacetic acids ; Female ; Fluorescent dyes ; Fluorescent indicators ; Humans ; Laser applications ; Lasers ; Lavage ; Life Sciences &amp; Biomedicine ; Male ; Medicine, Research &amp; Experimental ; Methods ; Microscope and microscopy ; Microscopy ; Microscopy, Confocal ; Molar - diagnostic imaging ; Molar - surgery ; Penetration depth ; Research &amp; Experimental Medicine ; Root Canal Filling Materials ; Root Canal Preparation ; Root canal therapy ; Root canals ; Roots ; Scanning microscopy ; Science &amp; Technology ; Sealing compounds ; Sodium hypochlorite ; Teeth</subject><ispartof>BioMed research international, 2020, Vol.2020, p.8060489-7, Article 8060489</ispartof><rights>Copyright © 2020 Ayca Yilmaz et al.</rights><rights>COPYRIGHT 2020 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2020 Ayca Yilmaz et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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To compare the efficacy of various techniques used for final irrigation on sealer penetration in the apical one-third of curved root canals. Material and Methods. Sixty-five freshly extracted maxillary first molar teeth with mesiobuccal roots having more than 20° of root curvature were used. The root canals were instrumented and randomly divided into four experimental groups and one control group. In the 4 experimental groups, 3 ml of 17% EDTA followed by 3 ml of 5.25% NaOCl was delivered with the use of the following protocols: Group 1: manual dynamic activation (MDA), Group 2: sonic irrigation (SI), Group 3: passive ultrasonic irrigation (PUI), and Group 4: conventional needle irrigation (CI). All teeth were obturated with gutta-percha and AH Plus sealer labeled with fluorescent dye. Transverse sections at 2 mm and 4 mm distance from the root apex were examined with the aid of confocal laser scanning microscopy. 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PUI, SI, and MDA did not significantly improve sealer penetration in the apical portion of curved root canals when compared to conventional needle irrigation.</description><subject>Biotechnology &amp; Applied Microbiology</subject><subject>Confocal microscopy</subject><subject>Dental roots</subject><subject>Dentin</subject><subject>Dentistry</subject><subject>Endodontics</subject><subject>Ethylenediaminetetraacetic acid</subject><subject>Ethylenediaminetetraacetic acids</subject><subject>Female</subject><subject>Fluorescent dyes</subject><subject>Fluorescent indicators</subject><subject>Humans</subject><subject>Laser applications</subject><subject>Lasers</subject><subject>Lavage</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Male</subject><subject>Medicine, Research &amp; Experimental</subject><subject>Methods</subject><subject>Microscope and microscopy</subject><subject>Microscopy</subject><subject>Microscopy, Confocal</subject><subject>Molar - diagnostic imaging</subject><subject>Molar - surgery</subject><subject>Penetration depth</subject><subject>Research &amp; 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To compare the efficacy of various techniques used for final irrigation on sealer penetration in the apical one-third of curved root canals. Material and Methods. Sixty-five freshly extracted maxillary first molar teeth with mesiobuccal roots having more than 20° of root curvature were used. The root canals were instrumented and randomly divided into four experimental groups and one control group. In the 4 experimental groups, 3 ml of 17% EDTA followed by 3 ml of 5.25% NaOCl was delivered with the use of the following protocols: Group 1: manual dynamic activation (MDA), Group 2: sonic irrigation (SI), Group 3: passive ultrasonic irrigation (PUI), and Group 4: conventional needle irrigation (CI). All teeth were obturated with gutta-percha and AH Plus sealer labeled with fluorescent dye. Transverse sections at 2 mm and 4 mm distance from the root apex were examined with the aid of confocal laser scanning microscopy. Total percentage (%) and maximum depth (μm) of sealer penetration were measured. Results. All the experimental groups exhibited significantly higher penetration rates than the control group at both sections (p&lt;0.05). However, no significant differences were found in the penetration depth and percentage among the four experimental groups evaluated at both sections (p&gt;0.05). Conclusion. PUI, SI, and MDA did not significantly improve sealer penetration in the apical portion of curved root canals when compared to conventional needle irrigation.</abstract><cop>LONDON</cop><pub>Hindawi</pub><pmid>32352008</pmid><doi>10.1155/2020/8060489</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9254-7710</orcidid><orcidid>https://orcid.org/0000-0001-9737-9499</orcidid><orcidid>https://orcid.org/0000-0001-5999-9726</orcidid><oa>free_for_read</oa></addata></record>
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subjects Biotechnology & Applied Microbiology
Confocal microscopy
Dental roots
Dentin
Dentistry
Endodontics
Ethylenediaminetetraacetic acid
Ethylenediaminetetraacetic acids
Female
Fluorescent dyes
Fluorescent indicators
Humans
Laser applications
Lasers
Lavage
Life Sciences & Biomedicine
Male
Medicine, Research & Experimental
Methods
Microscope and microscopy
Microscopy
Microscopy, Confocal
Molar - diagnostic imaging
Molar - surgery
Penetration depth
Research & Experimental Medicine
Root Canal Filling Materials
Root Canal Preparation
Root canal therapy
Root canals
Roots
Scanning microscopy
Science & Technology
Sealing compounds
Sodium hypochlorite
Teeth
title Effectiveness of Various Final Irrigation Techniques on Sealer Penetration in Curved Roots: A Confocal Laser Scanning Microscopy Study
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