Penha da Silva Poliana J, Marceliano-Alves Marília F, Provenzano José C, Dellazari Rafaela L A, Gonçalves Lucio Souza, Alves Flávio R F
Department of Endodontics, Estácio de Sá University, Rio de Janeiro, RJ, Brasil.
Department of Endodontics, Iguaçu University, Nova Iguaçu, Brazil.
Eur J Dent. 2021 Jul;15(3):475-480. doi: 10.1055/s-0040-1722095. Epub 2021 Feb 3.
The oval canals may be associated with inadequate debridement, which can affect the quality of the root canal filling, thus the treatment outcome. The aim of the present work was to compare the quality of oval canals fillings using EndoSequence BC sealer with the single-cone technique or cold lateral compaction.
Thirty-eight human single-rooted premolars with oval canals were instrumented to 1 mm from the apical foramen with hand nickel-titanium files, followed by circumferential filing with Hedstrom files. Teeth were paired into two groups based on their micro-computed tomography (CT) morphological parameters. Both groups were filled using EndoSequence BC sealer. The first used a single cone and the other with the cold lateral compaction technique. The voids volume was evaluated by micro-CT and the percentage was calculated for the total length and for the apical 5 mm of each canal. The Mann-Whitney U test was used to assess whether the surface area and obturation length differed significantly between the groups and to compare the percentage of voids for each technique.
Both techniques resulted in less than 16% voids, with no statistically significant difference between them for the total canal length and for the apical 5 mm ( > 0.05).
The quality of the obturation performed with the single-cone technique was similar to that achieved with lateral compaction using EndoSequence BC sealer in oval canals.
椭圆形根管可能与清创不充分有关,这会影响根管充填质量,进而影响治疗效果。本研究的目的是比较使用EndoSequence BC封闭剂采用单锥技术或冷侧方加压技术对椭圆形根管进行充填的质量。
选取38颗具有椭圆形根管的人单根前磨牙,先用手动镍钛锉将根管预备至距根尖孔1mm处,然后用Hedstrom锉进行圆周锉削。根据微计算机断层扫描(CT)形态学参数将牙齿配对分为两组。两组均使用EndoSequence BC封闭剂进行充填。第一组采用单锥技术,另一组采用冷侧方加压技术。通过微CT评估根管内空隙体积,并计算每根根管全长及根尖5mm处空隙体积的百分比。采用Mann-Whitney U检验评估两组之间的表面积和充填长度是否存在显著差异,并比较每种技术的空隙百分比。
两种技术产生的空隙均小于16%,两组在根管全长及根尖5mm处空隙百分比差异均无统计学意义(P>0.05)。
在椭圆形根管中,采用单锥技术进行充填的质量与使用EndoSequence BC封闭剂进行侧方加压充填的质量相似。