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Published in: BMC Oral Health 1/2021

Open Access 01-12-2021 | Computed Tomography | Research article

Presence of voids after three obturation techniques in band‐shaped isthmuses: a micro‐computed tomography study

Authors: Pengfei Zhang, Keyong Yuan, Qiaoqiao Jin, Fen Zhao, Zhengwei Huang

Published in: BMC Oral Health | Issue 1/2021

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Abstract

Background

The objective of the present micro-computed tomography (micro-CT) study was to assess the presence of voids in band-shaped isthmuses obturated using three different filling techniques.

Methods

Twenty-four artificial molar teeth with a band-shaped isthmus were allocated to three groups (n = 8) for obturation, according to the filling technique: single-cone (SC), continuous wave of condensation (CWC) or lateral condensation (LC). Obturation was performed with gutta-percha (GP) cones and iRoot SP (Innovative Bioceramix, Vancouver, Canada). Post-filling micro-CT scanning was performed. The percentage of filling materials and void volumes were calculated in the isthmus areas and data were analyzed using one-way ANOVA and Tukey tests.

Results

The mean percentage of void volumes and corresponding filling percentages in the isthmus areas after obturation in the SC groups was 22.98 % ± 1.19 %, 77.02 % ± 1.19 %; in the CWC groups 10.46 % ± 2.28 %, 89.54 % ± 2.28 %; and in the LC groups was 13.14 % ± 1.85 %, 86.86 % ± 1.85 %, respectively.

Conclusions

In band-shaped isthmus area, the obturation quality of CWC was superior to SC and LC techniques.
Literature
1.
go back to reference Siqueira JF Jr, Rôças IN, Ricucci D, Hülsmann M. Causes and management of post-treatment apical periodontitis. Br Dent J. 2014;216(6):305–12.CrossRef Siqueira JF Jr, Rôças IN, Ricucci D, Hülsmann M. Causes and management of post-treatment apical periodontitis. Br Dent J. 2014;216(6):305–12.CrossRef
2.
go back to reference Schilder H. Filling root canals in three dimensions. Dent Clin N Am. 1967;32:723–44. Schilder H. Filling root canals in three dimensions. Dent Clin N Am. 1967;32:723–44.
3.
go back to reference Alharmoodi R, Al-Salehi S. Assessment of the quality of endodontic re-treatment and changes in periapical status on a postgraduate endodontic clinic. J Dent. 2020;92:103261.CrossRef Alharmoodi R, Al-Salehi S. Assessment of the quality of endodontic re-treatment and changes in periapical status on a postgraduate endodontic clinic. J Dent. 2020;92:103261.CrossRef
4.
go back to reference Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589–99.CrossRef Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589–99.CrossRef
5.
go back to reference Gillen BM, Looney SW, Gu LS, Loushine BA, Weller RN, Loushine RJ, et al. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod. 2011;37(7):895–902.CrossRef Gillen BM, Looney SW, Gu LS, Loushine BA, Weller RN, Loushine RJ, et al. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod. 2011;37(7):895–902.CrossRef
6.
go back to reference Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J. 2002;35(8):680–9.CrossRef Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J. 2002;35(8):680–9.CrossRef
7.
go back to reference Alim BA, Garip Berker Y. Evaluation of different root canal filling techniques in severely curved canals by micro-computed tomography. Saudi Dent J. 2020;32(4):200–5.CrossRef Alim BA, Garip Berker Y. Evaluation of different root canal filling techniques in severely curved canals by micro-computed tomography. Saudi Dent J. 2020;32(4):200–5.CrossRef
8.
go back to reference Tavares PB, Bonte E, Boukpessi T, Siqueira JF Jr, Lasfargues JJ. Prevalence of apical periodontitis in root canal-treated teeth from an urban French population: influence of the quality of root canal fillings and coronal restorations. J Endod. 2009;35(6):810–3.CrossRef Tavares PB, Bonte E, Boukpessi T, Siqueira JF Jr, Lasfargues JJ. Prevalence of apical periodontitis in root canal-treated teeth from an urban French population: influence of the quality of root canal fillings and coronal restorations. J Endod. 2009;35(6):810–3.CrossRef
9.
go back to reference Ordinola-Zapata R, Bramante CM, Versiani MA, Moldauer BI, Topham G, Gutmann JL, et al. Comparative accuracy of the Clearing Technique, CBCT and Micro-CT methods in studying the mesial root canal configuration of mandibular first molars. Int Endod J. 2017;50(1):90–6.CrossRef Ordinola-Zapata R, Bramante CM, Versiani MA, Moldauer BI, Topham G, Gutmann JL, et al. Comparative accuracy of the Clearing Technique, CBCT and Micro-CT methods in studying the mesial root canal configuration of mandibular first molars. Int Endod J. 2017;50(1):90–6.CrossRef
10.
go back to reference Keleş A, Keskin C. A micro-computed tomographic study of band-shaped root canal isthmuses, having their floor in the apical third of mesial roots of mandibular first molars. Int Endod J. 2018;51(2):240–6.CrossRef Keleş A, Keskin C. A micro-computed tomographic study of band-shaped root canal isthmuses, having their floor in the apical third of mesial roots of mandibular first molars. Int Endod J. 2018;51(2):240–6.CrossRef
11.
go back to reference von Arx T. Frequency and type of canal isthmuses in first molars detected by endoscopic inspection during periradicular surgery. Int Endod J. 2005;38(3):160–8.CrossRef von Arx T. Frequency and type of canal isthmuses in first molars detected by endoscopic inspection during periradicular surgery. Int Endod J. 2005;38(3):160–8.CrossRef
12.
go back to reference Alves FR, Andrade-Junior CV, Marceliano-Alves MF, Pérez AR, Rôças IN, Versiani MA, et al. Adjunctive steps for disinfection of the mandibular molar root canal system: a correlative bacteriologic, micro-computed tomography, and cryopulverization approach. J Endod. 2016;42(11):1667–72.CrossRef Alves FR, Andrade-Junior CV, Marceliano-Alves MF, Pérez AR, Rôças IN, Versiani MA, et al. Adjunctive steps for disinfection of the mandibular molar root canal system: a correlative bacteriologic, micro-computed tomography, and cryopulverization approach. J Endod. 2016;42(11):1667–72.CrossRef
13.
go back to reference Versiani MA, Alves FR, Andrade-Junior CV, Marceliano-Alves MF, Provenzano JC, Rôças IN, et al. Micro-CT evaluation of the efficacy of hard-tissue removal from the root canal and isthmus area by positive and negative pressure irrigation systems. Int Endod J. 2016;49(11):1079–87.CrossRef Versiani MA, Alves FR, Andrade-Junior CV, Marceliano-Alves MF, Provenzano JC, Rôças IN, et al. Micro-CT evaluation of the efficacy of hard-tissue removal from the root canal and isthmus area by positive and negative pressure irrigation systems. Int Endod J. 2016;49(11):1079–87.CrossRef
14.
go back to reference Celikten B, C FU, Tufenkci AIO, Misirli P. M, K OD, et al. Micro-CT assessment of the sealing ability of three root canal filling techniques. J Oral Sci. 2015;57(4):361–6.CrossRef Celikten B, C FU, Tufenkci AIO, Misirli P. M, K OD, et al. Micro-CT assessment of the sealing ability of three root canal filling techniques. J Oral Sci. 2015;57(4):361–6.CrossRef
15.
go back to reference Iglecias EF, Freire LG, de Miranda Candeiro GT, Dos Santos M, Antoniazzi JH, Gavini G. Presence of voids after continuous wave of condensation and single-cone obturation in mandibular molars: a micro-computed tomography analysis. J Endod. 2017;43(4):638–42.CrossRef Iglecias EF, Freire LG, de Miranda Candeiro GT, Dos Santos M, Antoniazzi JH, Gavini G. Presence of voids after continuous wave of condensation and single-cone obturation in mandibular molars: a micro-computed tomography analysis. J Endod. 2017;43(4):638–42.CrossRef
16.
go back to reference Celikten B, Uzuntas CF, Orhan AI, Orhan K, Tufenkci P, Kursun S, et al. Evaluation of root canal sealer filling quality using a single-cone technique in oval shaped canals: an in vitro micro-CT study. Scanning. 2016;38(2):133–40.CrossRef Celikten B, Uzuntas CF, Orhan AI, Orhan K, Tufenkci P, Kursun S, et al. Evaluation of root canal sealer filling quality using a single-cone technique in oval shaped canals: an in vitro micro-CT study. Scanning. 2016;38(2):133–40.CrossRef
17.
go back to reference Pedullà E, Abiad RS, Conte G, La Rosa GRM, Rapisarda E, Neelakantan P. Root fillings with a matched-taper single cone and two calcium silicate-based sealers: an analysis of voids using micro-computed tomography. Clin Oral Investig. 2020;24(12):4487–92.CrossRef Pedullà E, Abiad RS, Conte G, La Rosa GRM, Rapisarda E, Neelakantan P. Root fillings with a matched-taper single cone and two calcium silicate-based sealers: an analysis of voids using micro-computed tomography. Clin Oral Investig. 2020;24(12):4487–92.CrossRef
18.
go back to reference Keleş A, Keskin C. Presence of voids after warm vertical compaction and single-cone obturation in band-shaped isthmuses using micro-computed tomography: a phantom study. Microsc Res Tech. 2020;83(4):370–4.CrossRef Keleş A, Keskin C. Presence of voids after warm vertical compaction and single-cone obturation in band-shaped isthmuses using micro-computed tomography: a phantom study. Microsc Res Tech. 2020;83(4):370–4.CrossRef
19.
go back to reference Wolf M, Küpper K, Reimann S, Bourauel C, Frentzen M. 3D analyses of interface voids in root canals filled with different sealer materials in combination with warm gutta-percha technique. Clin Oral Investig. 2014;18(1):155–61.CrossRef Wolf M, Küpper K, Reimann S, Bourauel C, Frentzen M. 3D analyses of interface voids in root canals filled with different sealer materials in combination with warm gutta-percha technique. Clin Oral Investig. 2014;18(1):155–61.CrossRef
20.
go back to reference Gandolfi MG, Parrilli AP, Fini M, Prati C, Dummer PM. 3D micro-CT analysis of the interface voids associated with Thermafil root fillings used with AH Plus or a flowable MTA sealer. Int Endod J. 2013;46(3):253–63.CrossRef Gandolfi MG, Parrilli AP, Fini M, Prati C, Dummer PM. 3D micro-CT analysis of the interface voids associated with Thermafil root fillings used with AH Plus or a flowable MTA sealer. Int Endod J. 2013;46(3):253–63.CrossRef
21.
go back to reference Nguyen TA, Kim Y, Kim E, Shin SJ, Kim S. Comparison of the efficacy of different techniques for the removal of root canal filling material in artificial teeth: a micro-computed tomography study. J Clin Med. 2019;8(7):984.CrossRef Nguyen TA, Kim Y, Kim E, Shin SJ, Kim S. Comparison of the efficacy of different techniques for the removal of root canal filling material in artificial teeth: a micro-computed tomography study. J Clin Med. 2019;8(7):984.CrossRef
22.
go back to reference Leoni GB, Versiani MA, Silva-Sousa YT, Bruniera JF, Pécora JD, Sousa-Neto MD. Ex vivo evaluation of four final irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular first molars. Int Endod J. 2017;50(4):398–406.CrossRef Leoni GB, Versiani MA, Silva-Sousa YT, Bruniera JF, Pécora JD, Sousa-Neto MD. Ex vivo evaluation of four final irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular first molars. Int Endod J. 2017;50(4):398–406.CrossRef
23.
go back to reference Neelakantan P, Devaraj S, Jagannathan N. Histologic assessment of debridement of the root canal isthmus of mandibular molars by irrigant activation techniques ex vivo. J Endod. 2016;42(8):1268–72.CrossRef Neelakantan P, Devaraj S, Jagannathan N. Histologic assessment of debridement of the root canal isthmus of mandibular molars by irrigant activation techniques ex vivo. J Endod. 2016;42(8):1268–72.CrossRef
24.
go back to reference Kim S, Jung H, Kim S, Shin SJ, Kim E. The influence of an isthmus on the outcomes of surgically treated molars: a retrospective study. J Endod. 2016;42(7):1029–34.CrossRef Kim S, Jung H, Kim S, Shin SJ, Kim E. The influence of an isthmus on the outcomes of surgically treated molars: a retrospective study. J Endod. 2016;42(7):1029–34.CrossRef
25.
go back to reference Kim S, Kim S, Park JW, Jung IY, Shin SJ. Comparison of the percentage of voids in the canal filling of a calcium silicate-based sealer and gutta percha cones using two obturation techniques. Materials (Basel Switzerland). 2017;10(10):10–5. Kim S, Kim S, Park JW, Jung IY, Shin SJ. Comparison of the percentage of voids in the canal filling of a calcium silicate-based sealer and gutta percha cones using two obturation techniques. Materials (Basel Switzerland). 2017;10(10):10–5.
26.
go back to reference Somma F, Cretella G, Carotenuto M, Pecci R, Bedini R, De Biasi M, et al. Quality of thermoplasticized and single point root fillings assessed by micro-computed tomography. Int Endod J. 2011;44(4):362–9.CrossRef Somma F, Cretella G, Carotenuto M, Pecci R, Bedini R, De Biasi M, et al. Quality of thermoplasticized and single point root fillings assessed by micro-computed tomography. Int Endod J. 2011;44(4):362–9.CrossRef
27.
go back to reference Robberecht L, Colard T, Claisse-Crinquette A. Qualitative evaluation of two endodontic obturation techniques: tapered single-cone method versus warm vertical condensation and injection system: an in vitro study. J Oral Sci. 2012;54(1):99–104.CrossRef Robberecht L, Colard T, Claisse-Crinquette A. Qualitative evaluation of two endodontic obturation techniques: tapered single-cone method versus warm vertical condensation and injection system: an in vitro study. J Oral Sci. 2012;54(1):99–104.CrossRef
28.
go back to reference Hörsted-Bindslev P, Andersen MA, Jensen MF, Nilsson JH, Wenzel A. Quality of molar root canal fillings performed with the lateral compaction and the single-cone technique. J Endod. 2007;33(4):468–71.CrossRef Hörsted-Bindslev P, Andersen MA, Jensen MF, Nilsson JH, Wenzel A. Quality of molar root canal fillings performed with the lateral compaction and the single-cone technique. J Endod. 2007;33(4):468–71.CrossRef
29.
go back to reference Gok T, Capar ID, Akcay I, Keles A. Evaluation of different techniques for filling simulated C-shaped canals of 3-dimensional printed resin teeth. J Endod. 2017;43(9):1559–64.CrossRef Gok T, Capar ID, Akcay I, Keles A. Evaluation of different techniques for filling simulated C-shaped canals of 3-dimensional printed resin teeth. J Endod. 2017;43(9):1559–64.CrossRef
30.
go back to reference Peng L, Ye L, Tan H, Zhou X. Outcome of root canal obturation by warm gutta-percha versus cold lateral condensation: a meta-analysis. J Endod. 2007;33(2):106–9.CrossRef Peng L, Ye L, Tan H, Zhou X. Outcome of root canal obturation by warm gutta-percha versus cold lateral condensation: a meta-analysis. J Endod. 2007;33(2):106–9.CrossRef
31.
go back to reference Chybowski EA, Glickman GN, Patel Y, Fleury A, Solomon E, He J. Clinical outcome of non-surgical root canal treatment using a single-cone technique with endosequence bioceramic sealer: a retrospective analysis. J Endod. 2018;44(6):941–5.CrossRef Chybowski EA, Glickman GN, Patel Y, Fleury A, Solomon E, He J. Clinical outcome of non-surgical root canal treatment using a single-cone technique with endosequence bioceramic sealer: a retrospective analysis. J Endod. 2018;44(6):941–5.CrossRef
32.
go back to reference Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2: tooth survival. Int Endod J. 2011;44(7):610–25.CrossRef Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2: tooth survival. Int Endod J. 2011;44(7):610–25.CrossRef
33.
go back to reference Zavattini A, Knight A, Foschi F, Mannocci F. Outcome of root canal treatments using a new calcium silicate root canal sealer: a non-randomized clinical trial. J Clin Med. 2020;9(3):782–91.CrossRef Zavattini A, Knight A, Foschi F, Mannocci F. Outcome of root canal treatments using a new calcium silicate root canal sealer: a non-randomized clinical trial. J Clin Med. 2020;9(3):782–91.CrossRef
Metadata
Title
Presence of voids after three obturation techniques in band‐shaped isthmuses: a micro‐computed tomography study
Authors
Pengfei Zhang
Keyong Yuan
Qiaoqiao Jin
Fen Zhao
Zhengwei Huang
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-021-01584-2

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