Demir E, Göker KS, Türkaydın D

Language: English
References: 31
Page: 30-39
PDF size: 184.89 Kb.

ABSTRACT

The first objective of this research was to evaluate the effectiveness of XP-Endo Finisher on dentinal tubule penetration of irrigation solution using confocal laser scanning microscopy. The main purpose of this research was to compare the effect of cold lateral condensation, continuous wave obturation and core-carrier based techniques on sealer penetration. Sixty mandibular premolars were prepared and allocated into two experimental groups (n=30) as the final irrigation technique and obturation technique experiment. In the final irrigation technique experiment, final irrigation was performed with XP-Endo Finisher, passive ultrasonic irrigation (PUI) and conventional needle irrigation (CNI) (n=10). The roots in the obturation technique experiment were also assigned into 3 groups and obturated with cold lateral condensation, continuous-wave obturation and core-carrier techniques (n=10). The most effective activation method, which emerged as a result of the first part of this study, was used as the final irrigation method in the obturation technique experiment. Then, all roots were sectioned in 1-mm-thick slices at 3mm from the apex for scanning. In terms of depth and percentage of material penetration, CNI exhibited significantly the lowest values and no significant difference was found between others. Also, there was no significant difference among obturation methods. In conclusion, XP-Endo Finisher and PUI are more effective than CNI on irrigant penetration. Sealer penetration into dentinal tubules is independent of obturation techniques.

REFERENCES

1. Ma J., Wang Z., Shen Y., Haapasalo M. Anew noninvasive model to study the effectivenessof dentin disinfection by using confocallaser scanning microscopy. J Endod 2011;37: 1380-1385.

2. Ricucci D., Siqueira Jr. J.F. Fate of thetissue in lateral canals and apical ramificationsin response to pathologic conditions andtreatment procedures. J Endod 2010; 36: 1-15.

3. Kim D., Kim E. Antimicrobial effect of calciumhydroxide as an intracanal medicament in rootcanal treatment: a literature review-Part I. Invitro studies. Restor Dent Endod 2014; 39(4): 241.

4. Kokkas A.B., Boutsioukis A.C., VassiliadisL.P., Stavrianos C.K. The influence of thesmear layer on dentinal tubule penetrationdepth by three different root canal sealers: anin vitro study. J Endod 2004; 30 (2): 100-102.

5. Gu Y., Perinpanayagam H., Jin D.J., et al.Effect of different agitation techniques on thepenetration of irrigant and sealer into dentinaltubules. Photomed Laser Surg 2017; 35 (2):71-77.

6. Alim Uysal B.A., Kotan G., Guneser M.B.,Dincer A.N., Senturk H., Rafiqi A.M. Investigationof the effect of different chelationsolutions on penetration of resin-based andbioceramic sealers with a novel method.Microsc Res Techniq 2021; 1-6.

7. Jardine A.P., Da Rosa R.A., Santini M.F.,et al. The effect of final irrigation on thepenetrability of an epoxy resin-based sealerinto dentinal tubules: a confocal microscopystudy. Clin Oral Investig 2016; 20 (1):117-123.

8. Van der Sluis L.W.M., Gambarini G., WuM.K., Wesselink P.R. The influence ofvolume, type of irrigant and flushing methodon removing artificially placed dentine debrisfrom the apical root canal during passiveultrasonic irrigation. Int Endod J 2006; 39:472-476.

9. Sabins R.A., Johnson J.D., Hellstein J.W. Acomparison of the cleaning efficacy of shortterm sonic and ultrasonic passive irrigationafter hand instrumentation in molar rootcanals. J Endod 2003; 29: 674-678.

10. FKG Dentaire SA. The XP-Endo FinisherFile Brochure. Available at: https://www.fkg.ch/xpendo/finisher. Accessed February 11,2021.

11. De Deus G.A., Gurgel-Filho E.D., Maniglia-Ferreira C., Coulinho-Filho T. The influenceof filling technique on depth of tubulepenetration by root canal sealer: a study usinglight microscopy and digital image processing.Aus Endod J 2004; 30 (1): 23-28.

12. Kara Tuncer A. Effect of QMix 2in1 on sealerpenetration into the dentinal tubules. J Endod2015; 41(2): 257-260.

13. Aksel H., Arslan E., Puralı N., Uyanık Ö.,Nagaş E. Effect of ultrasonic activationon dentinal tubule penetration of calciumsilicate-based cements. Microsc Res Techniq2019; 82 (5): 624-629.

14. Chandra S.S., Shankar P., Indira R. Depth ofpenetration of four resin sealers into radiculardentinal tubules: a confocal microscopicstudy. J Endod 2012; 38 (10): 1412-1416.

15. Bukiet F., Soler T., Guivarch M., et al. Factorsaffecting the viscosity of sodium hypochloriteand their effect on irrigant flow. Int Endod J2013; 46 (10): 954-961.

16. Küçük M., Kermeoğlu F. Efficacy of differentirrigation methods on dentinal tubulepenetration of Chlorhexidine, QMix andIrritrol: A confocal laser scanning microscopystudy. Aus Endod J 2019; 45 (2): 202-208.

17. Generali L., Cavani F., Serena V., PettenatiC., Righi E., Bertoldi C. Effect of differentirrigation systems on sealer penetrationinto dentinal tubules. J Endod 2017; 43 (4):652-656.

18. Paqué F., Luder H.U., Sener B., Zehnder M. Tubular sclerosis rather than the smear layer impedes dye penetration into the dentine of endodontically instrumented root canals. Int Endod J 2006; 39 (1): 18-25.

19. Elliot C., Hatton J.F., Stewart G.P., Hildebolt C.F., Gillespie M.J., Gutmann J.L. The effect of the irrigant QMix on removal of canal wall smear layer: an ex vivo study. Odontology 2014; 102 (2): 232-240.

20. Aydın Z.U., Özyürek T., Keskin B., Baran T. Effect of chitosan nanoparticle, QMix, and EDTA on TotalFill BC sealers’ dentinal tubule penetration: a confocal laser scanning microscopy study. Odontology 2019; 107 (1): 64-71.

21. Weis M.V., Parashos P., Messer H.H. Effect of obturation technique on sealer cement thickness and dentinal tubule penetration. Int Endod J 2004; 37 (10): 653-663.

22. Russell A.A., Chandler N.P., Hauman C., Siddiqui A.Y., Tompkins G.R. The butterfly effect: an investigation of sectioned roots. J Endod 2013; 39 (2): 208-210.

23. Gharib S.R., Tordik P.A., Imamura G.M., Baginski T.A., Goodell G.G. A confocal laser scanning microscope investigation of the epiphany obturation system. J Endod 2007; 33 (8): 957-961.

24. De-Deus G., Belladonna F.G., de Siqueira Zuolo A., et al. Micro-CT comparison of XP-endo Finisher and passive ultrasonic irrigation as final irrigation protocols on the removal of accumulated hard-tissue debris from oval shaped-canals. Clin Oral Investig 2019; 23 (7): 3087-3093.

25. Keskin C., Sariyilmaz E., Sariyilmaz Ö. Efficacy of XP-endo Finisher file in removing calcium hydroxide from simulated internal resorption cavity. J Endod 2017; 43 (1): 126-130.

26. Kfir A., Blau-Venezia N., Goldberger T., Abramovitz I., Wigler R. Efficacy of self-adjusting file, XP-endo finisher and passive ultrasonic irrigation on the removal of calcium hydroxide paste from an artificial standardized groove. Aus Endod J 2018; 44 (1): 26-31.

27. Turkaydin D., Demir E., Basturk F.B., Övecoglu H.S. Efficacy of XP-Endo finisher in the removal of triple antibiotic paste from immature root canals. J Endod 2017; 43 (9): 1528-1531.

28. Camilleri J. Sealers and warm gutta-percha obturation techniques. J Endod 2015; 41(1): 72-78.

29. Jeong J.W., DeGraft-Johnson A., Dorn S.O., Di Fiore P.M. Dentinal tubule penetration of a calcium silicate–based root canal sealer with different obturation methods. J Endod 2017; 43 (4): 633-637.

30. Kok D., Duarte M.A.H., Da Rosa R.A., Wagner M.H., Pereira J.R., Só M.V.R. Evaluation of epoxy resin sealer after three root canal filling techniques by confocal laser scanning microscopy. Microsc Res Techniq 2012; 75 (9): 1277-1280.

31. Elnaghy A.M., Mandorah A., Elsaka S.E. Effectiveness of XP-endo Finisher, EndoActivator, and File agitation on debris and smear layer removal in curved root canals: a comparative study. Odontology 2017; 105 (2): 178-183.