Journal
JOURNAL OF ENDODONTICS
Volume 40, Issue 12, Pages 2003-2008Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.joen.2014.07.032
Keywords
Cold lateral compaction; ethylene vinyl acetate; epoxy resin; gutta-percha; methacrylate; micro-computed tomographic imaging; negative replica; polypropylene; scanning electron microscopy; warm vertical compaction
Categories
Funding
- National Nature Science Foundation of China [81130078]
- program for Changjiang Scholars and Innovative Research Team in University [IRT13051]
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Introduction: The present study examined the quality of obturation in root canals filled by an experimental non gutta-percha based (NGP) root filling system using warm vertical or cold lateral compaction. The quality of obturation was evaluated by comparing the volumetric percentage of gaps and voids identified from similar canals obturated with gutta-percha and an epoxy resin based sealer using the same obturation techniques. Methods: Forty single-rooted premolars with ovalshaped canals were cleaned, shaped, and obturated with 1 of the 4 material/obturation technique combinations (n = 10). Filled canals were scanned with micro computed tomographic imaging. Reconstructed images were analyzed for the volumetric percentage of gaps and voids at 3 canal levels (0-4, 4-8, and 8-12 mm from the working length). Roots were sectioned at the 4-mm, 8'-mm, and 12-mm levels. Scanning electron microscopic images of negative replicas of root sections were examined to quantify the circumferential percentage of interfacial gaps and the area percentage of intracanal voids. Data were analyzed with parametric or nonparametric statistical methods. Results: A statistically significant difference was found for the volumetric percentage distribution of gaps and voids for obturaton technique but not for material. Significantly higher percentages of gaps and voids were identified in canals obturated with the NGP system using cold lateral compaction. Examination of negative replicas ascribed this difference to a higher area percentage of interfacial gaps rather than more intracanal voids. Conclusions: Using warm vertical compaction, the NGP system fulfils the objective of 3-dimensional obturation of the canal space in a manner comparable with the results achieved with gutta-percha and a root canal sealer.
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