• Restorative Dentistry and Endodontics
• /
• v.19 no.2
• /
• pp.611-620
• /
• 1994

The purpose of this study was to evaluate the effect of post space preparation on apical sealing according to the methods and time of gutta percha removal. Forty six extracted single rooted teeth were selected for this study. Forty teeth were used as experimental groups and six teeth as control groups. Forty teeth were routinely prepared by step-back method and obturated with gutta percha cones and zinc oxide-eugenol cement using lateral condensation. All obturated teeth were divided into 4 groups of 10 teeth each. In each group of 1, 2, 3, heated plugger, gate glidden drill and chloroform and K-file were used respectively for post space preparation by removing the gutta percha immediately after obturation. In group 4, post space were prepared with gate glidden drill one week after obturation. In all experimental groups, the post space were prepared so that 4mm of apical gutta percha remained. After post space preparation, apical leakage were measured with electrochemical method for 28 days and analyzed statistically. The following results were obtained ; 1. No statistically significant differences in apical leakage were occured among the experimental groups using heated plugger, gate glidden drill and chloroform and K-file to remove the gutta percha immediately after obturation. 2. No significant difference in apical leakage was found between the teeth prepared post space immediately after obturation and those prepared 1 week after obturation. 3. In all experimental groups, the apical leakage was increased with time passage regardless of the post space preparation time and the gutta percha removal techniques.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.28 no.4
• /
• pp.700-708
• /
• 2001

Traumatic injuries in young patients can result in the interruption of the development of the incompletely formed roots. In teeth with incomplete root-end formation and necrotic pulps, the root canals must be completely debrided. Because of a lack of an apical stop and the presence of thin and fragile walls in these teeth, it is imperative to perform apexification to obtain an adequate apical seal. Calcium hydroxide has become the material of choice for apexification. Despite its popularity for the apexification procedure, calcium hydroxide therapy has some inherent disadvantages that include variablility of treatment time, unpredictability of apical closure, difficulty in patient follow-up, and delayed treatment. An alternative treatment to long-term apexification procedure is the use of an artificial apical barrier that allows immediate obturation of the canal. MTA(Mineral Trioxide Aggregate) is a powder consisting of fine hydrophilic particles of tricalcium silicate, tricalcium aluminate, tricalcium oxide and silicate oxide. MTA has a pH of 12.5 after setting, similar to calcium hydroxide. This may impart some antimicrobial properties. MTA has low solubility and a radiopacity slightly eater than that of dentin. Also, MTA leaked significantly less than other materials and induced hard-tissue formation more than other materials.

• Restorative Dentistry and Endodontics
• /
• v.15 no.1
• /
• pp.81-87
• /
• 1990

The purpose of this study was to evaluate the apical seal produced by low temperature($70^{\circ}C$) injection gutta percha technique(ULTRAFIL) with & without sealer, warm latero-vertical cindensation technique (ENDOTEC) with & without sealer, and the lateral condensation technique with sealer. 100 extracted, single rooted human teeth were divided into 5 groups and root canals were enlarged & obturated according to the purpose of this study. Obturated teeth were immersed in 2.5% methylene blue for 48hrs. at $37^{\circ}C$ incubator and split. The apical sealing ability was evaluated by measuring the degree of dye penetration into the canal. The results were as follows: 1. All group showed varying depth of dye penetration. 2. There were no significant difference among Group I (lateral condensation), Group II (ULTRAFIL with sealer) & Group IV (ENDOTEC with sealer) (P>0.05). 3. There were less dye penetration when used in conjunction with sealer (P<0.001).

• Proceedings of the KACD Conference
• /
• 2003.11a
• /
• pp.600-600
• /
• 2003

I. Objectives Effective endodontic obturation must provide a complete, three-dimensional filling of the root canal system, preventing the communication of fluids between root canal and surrounding periapical tissues. The objective of this study was to compare the apical leakage with or without the use of dentin adhesive system. II. Materials and Methods Forth extracted human teeth with single canals were decoronated. Root canals were instrumented using GT rotary files and Profile .04 file up to #40, 1mm short of the apex. After each instrumentation, copious irrigation with 5.25% sodium hypochlorite solution and confirmation of apical patency were performed.(omitted)

• Restorative Dentistry and Endodontics
• /
• v.13 no.1
• /
• pp.151-158
• /
• 1988

The purpose of this study was to evaluate the effect of canal filling methods and post-space preparation time on the apical seal of endodontically treated teeth. Seventy-six single-rooted human teeth were divided into 6 groups and each tooth was obturated and prepared post-space according to the purpose of this study. After all specimens were immersed in Indian ink, decalcified and cleared, the degree of dye penetration into the root canals observed by magnifying glass (X20) and measured by caliper. The results were as follows: 1. In the thermatic condensation, no significant difference in ink penetration occured when the post-spaces were created immediately after obturation or when they were made a week later. 2. In the lateral condensation, no significant difference in ink penetration existed between teeth whose post-space were prepared immediately or delayed. 3. In comparison of experimental groups and control groups, no significant difference showed when the groups were obturated with McSpadden compactor but when the teeth were laterally condensed, the experimental groups showed less ink penetration than controls. 4. Thermatic condensed teeth with McSpadden compactor were less ink penetration thn laterally condensed teeth.

• Restorative Dentistry and Endodontics
• /
• v.11 no.1
• /
• pp.27-32
• /
• 1985

The purpose of this study was to examine the influence of canal irrigants and smear layer on the property of apical seal. Fourty-five canals from human teeth were randomly selected and divided into 5 groups according to the irrigants used in conjunction with instrumentation. The irrigants were RC-prep in combination with Naocl, Citric acid, Naocl, Naocl in combination with $H_2O_2$, and normal saline solution. After instrumention and dry the canal with paper point, the canals were obturated by lateral condensation of Zinc-oxide eugenol sealer and gutta percha cone. All the specimens were immersed in 2% methylene blue dye solution for 7 days and the depth of dye penetration into the canals was evaluated by macros cope. The following results were obtained. 1. All the canals experimented showed varying degree of dye penetration. 2. There was no significant difference in depth of dye penetration between the groups known to be effective and ineffective in the removal of the smear layer. 3. The canals irrigated with NaOCl alone showed the highest dye penetration and mean leakage was 7.7 mm. 4. In the canals irrigated with RC-prep in combination with Naocl and citric acid, the mean dye penetration was 5.5 mm and 4.8 mm respectively, and the canals irrigated with NaOCl in combination with $H_2O_2$ and normal saline solution revealed mean dye penetration of 3.9 mm.

• Restorative Dentistry and Endodontics
• /
• v.20 no.2
• /
• pp.780-788
• /
• 1995

The purpose of this study was to compare the apical seal following root canal shaping by different methods. From fourty extracted mandibular 1st and 2nd molars, fourty mesial roots whose canals have some degree of curvature were selected. The mesiobuccal root portion including mesiobuccal portion of a crown was sectioned in each molar. After access cavity preparation for the mesiobuccal canal, working length was determined with # 10 K-file. The sectioned roots were implanted in acrylic resin block and randomly divided into four groups. The canals of group I were shaped by step-down/balanced force, group II by stepdown/step-back, group III by step-back and group IV by conventional method. All of the shaped canals were obturated by Thermafil method and access cavities were filled with IRM. The roots were removed from acrylic resin block and placed in 100 % humidity for 7days. Except the root surfaces of apical 2mm, the root surfaces were nail-varnished 3 times. After the roots were placed in 700 torr vacuum pressure for 15 minutes, they were immersed in 2% methylene blue solution for 4 days. Nail varnishes were removed with acetone. After that, the roots were decalcified in 5 % nitric acid and dehydrated with alcohol series. Transparent specimens were made by methyl salicylate and the quality of apical seal was assessed by measuring the leakage linearly. The results were as follows. 1. The leakage in canals shaped by step-down/balanced force method was significantly less than that in canals shaped by step-back method(P<0.05) and was less but not statistically than that in canals shaped by step-down/step-back method (P>0.05). 2. The leakage in canals shaped by step-down/step-back method was less than that in canals shaped by step-back method, but there was no statistical significance(P>0.05). 3. The leakage in canals shaped by conventional method was significantly more than that in canals shaped by step-down/balanced force, step-down/step-back and step-back method (P<0.05).

• Restorative Dentistry and Endodontics
• /
• v.33 no.2
• /
• pp.133-140
• /
• 2008

The purpose of this study was to compare the apical micro leakage in root canal filled with Resilon by several self-etching primers and methacrylate-based root canal sealer. Seventy single-rooted human teeth were used in this study. The canals were instrumented by a crown-down manner with Gate-Glidden drills and .04 Taper Profile to ISO #40. The teeth were randomly divided into four experimental groups of 15 teeth each according to root canal filling material and self-etching primers and two control groups (positive and negative) of 5 teeth each as follows: group 1 - gutta percha and $AH26^{(R)}$ sealer: group 2 - Resilon, $RealSeal^{TM}$ primer and $RealSeal^{TM}$ sealer: group 3-Resilon, Clearfil SE $Bond^{(R)}$ primer and $RealSeal^{TM}$ sealer group 4-Resilon, $AdheSe^{(R)}$ primer and $RealSeal^{TM}$ sealer. Apical leakage was measured by a maximum length of linear dye penetration of roots sectioned longitudinally by diamond disk. Statistical analysis was performed using the One-way ANOVA followed by Scheffe's test. There were no statistical differences in the mean apical dye penetration among the groups 2, 3 and 4 of self-etching primers. And group 1, 2 and 3 had also no statistical difference in apical dye penetration. But, there was statistical difference between group 1 and 4 (p < 0.05). The group 1 showed the least dye penetration. According to the results of this study, Resilon with self-etching primer was not sealed root canal better than gutta precha with $AH26^{(R)}$ at sealing root canals. And there was no significant difference in apical leakage among the three self-etching primers.

• Restorative Dentistry and Endodontics
• /
• v.24 no.1
• /
• pp.166-179
• /
• 1999

Apical sealing is essential for the success of surgical endodontic treatment. Root-end cavity is apt to be contaminated with moisture or blood, and is not always easy to be dried completely. The purpose of this study was to evaluate the influence of dry methods of retrocavity on the apical seal in endodontic surgery. Apical seal was investigated through the evaluation of apical leakage and adaptation of filling material over the cavity wall. To investigate the influence of various dry methods on the apical leakage, 125 palatal roots of extracted human maxillary molar teeth were used. The clinical crown of each tooth was removed at 10 mm from the root apex using a slow-speed diamond saw and water spray. Root canals of the all the specimens were prepared with step-back technique and filled with gutta-percha by lateral condensation method. After removing of the coronal 2 mm of filling material, the access cavities were closed with Cavit$^{(R)}$. Two coats of nail polish were applied to the external surface of each root. Apical three millimeters of each root was resected perpendicular to the long axis of the root with a diamond saw. Class I retrograde cavities were prepared with ultrasonic instruments. Retrocavities were washed with physiologic saline solution and dried with various methods or contaminated with human blood. Retrocavities were filled either with IRM, Super EBA or composite resin. All the specimens were immersed in 2% methylene blue solution for 7 days in an incubator at $37^{\circ}C$. The teeth were dissolved in 14 ml of 35% nitric acid solution and the dye present within the root canal system was returned to solution. The leakage of dye was quantitatively measured via spectrophotometric method. The obtained data were analysed statistically using one-way ANOVA and Duncan's Multiple Range Test. To evaluate the influence of various dry methods on the adaptation of filling material over the cavity wall, 12 palatal roots of extracted human maxillary molar teeth were used. After all the roots were prepared and filled, and retrograde cavities were made and filled as above, roots were sectioned longitudinally. Filling-dentin interface of cut surfaces were examined by scanning electron microscope. The results were as follows: 1. Cavities dried with paper point or compressed air showed less leakage than those dried with cotton pellet in Super EBA filled cavity (p<0.05). However, there was no difference between paper point- and compressed air-dried cavities. 2. When cavities were dried with compressed air, dentin-bonded composite resin-filled cavities showed less apical leakage than IRM- or Super EBA-filled ones (p<0.05). 3. Regardless of the filling material, cavities contaminated with human blood showed significantly more apical leakage than those dried with compressed air after saline irrigation (p<0.05). 4. Outer half of the cavity showed larger dentin-filling interface gap than inner half did when cavities were filled with IRM or Super EBA. 5. In all the filling material groups, cavities contaminated with blood or dried with cotton pellets only showed larger defects at the base of the cavity than ones dried with paper points or compressed air.

• Restorative Dentistry and Endodontics
• /
• v.16 no.1
• /
• pp.181-189
• /
• 1991

The purpose of this study was to evaluate the effect of apical seal produced by ultrasonic instrumentation. 120 extracted, permanent single rooted teeth were randomly divided into 6 groups of 20 teeth and root canals were enlarged & obturated according to Table I. After canal obturation, the obturated teeth were immersed in 2.5 % Methylene blue for 72 hrs. at $37^{\circ}C$ incubator and longitudinally sectioned. The apical sealing ability was evaluated by measuring the degree of dye penetration into the canal. The results were as follows: 1. All groups showed varying depth of dye penetration. 2. There were no significant differences between Group I and N, Group II and V, Group III and VI. (P>0.05) 3. Regardless of obturation method, there were no significant differences between hand instrumented group and ultrasonic instrumented group.(P>0.05).