Dental Journal of Advance Studies

Register      Login

VOLUME 3 , ISSUE 1 ( January-April, 2015 ) > List of Articles

Original Article

An In Vitro Comparison of the Apical Seal Produced by Three Different Thermoplasticized Guttapercha Obturation Techniques in Oval Canals

Geetanjali Bansal, Bhupinder Kaur Padda

Keywords : Apical Seal, Lateral Condensation, Injectable Thermoplasticized Guttapercha, Downpack and Backfill, Thermaflo

Citation Information : Bansal G, Padda BK. An In Vitro Comparison of the Apical Seal Produced by Three Different Thermoplasticized Guttapercha Obturation Techniques in Oval Canals. 2015; 3 (1):39-46.

DOI: 10.1055/s-0038-1672012

License: NA

Published Online: 10-05-2015

Copyright Statement:  NA


Abstract

The aim of this study was to evaluate and compare the sealing ability to obturate oval canals with three thermoplasticizedguttaperchaobturation techniques taking lateral condensation technique as the control. Ninety-five freshly extracted teeth were decoronated at 2mm coronal to CEJ. Biomechanical preparation was done using step back technique. The teeth were divided into three experimental groups of 30 teeth each and one control group of 5 teeth. The group I (control group) was obturated with lateral condensation technique, group II obturated with injectable thermoplasticizedguttapercha technique, group III obturated with thermoplasticizedguttapercha with downpack and backfill technique andgroup IV obturated with core carrier thermoplasticizedguttapercha technique. The sealability of each technique was assessed by a dye penetration method. The roots were given two full layers of nail polish varnish except apical 2mm. Specimens were then immersed in India ink for 48 hours. Robertson's technique was used to clear the specimens. The linear dye penetration was measured from anatomic apex to the deepest extent of dye penetration in a coronal direction using triocular stereomicroscope at 10 x magnification. The mean dye leakage of group I was 2.6700mm;group II 0.1713mm;group III 3.3977mm; group IV 2.3210mm. When the means of all the four groups were compared using Kruskal Wallis test the difference was found to be very highly significant with the value<.001**, meaning there by that group II is significantly better than the other three groups as far as sealing ability is concerned.


PDF Share
  1. Ingle JI, Bakland LK. Endodontics. 5th ed. Hamilton (ON): BC Decker; 2002.
  2. Xu Q., Jungi ling, Cheung G. S.P, Yan Hu.: A quantative evaluation of sealing ability of obturation techniques by using a glucose leakage test. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: e109-e113.
  3. Brayton SM, Davis SR, Goldman M. Guttapercha root canal fillings. An in vitro analysis Part I. Oral Surg. Oral Med. Oral Path 1973; 35: 226-231.
  4. Meister F, Lommel TJ, Gersten H. Diagnosis & possible causes of vertical root fracture. Oral Surg. Oral Med. Oral Path 1980; 49: 243-53.
  5. Gimlin DR, Parr CH, Aguirre RG. A comparison of stresses produced during lateral and vertical condensation using engineering models. J Endod 1986; 12:235.
  6. Wu MK, Wesserlink PR. A primary observation on the preparation and obturation of oval canals. Int Endod J 2001; 34: 137-141.
  7. Yee, FS, Marlin J, Krakow, AA, Gron P. Three dimensional obturation of the root canal using injection-molded, thermoplasticized dental gutta-percha. J Endod 1977; 3:168.
  8. Gutmann JL. & Rakusin H. Perspectives on root canal obturation with thermoplasticized injectable guttapercha. Int Endod J 1987;20: 261-270.
  9. Lipski M. In Vitro Infrared thermographic assessment of root surface temperature generated by high temperature thermoplasticized injectable guttapercha obturation techniques. J. Endod 2006; 32: 438-441.
  10. Prashanth BR, Vasundhara S. Analysis of percentage of guttapercha filled area using single cone, continuous wave of compaction, thermafil & obtura II in 0.06 taper prepared root canals. Endodontology
  11. Johnson WB. A new Guttapercha Technique. J Endod 1978; 4:184-187.
  12. Robertson D, Leeb JI, Mckee M, Brewer E. A clearing technique for the study of root canal Systems. J Endod 1980; 6: 421-4.
  13. Grossman LI Endodontic Practice, 10th Edition. Philadelphia, USA: Lea & Febiger.
  14. Tagger MA, Katz A, Tamse A. Apical seal using the GP II method in straight canals compared with lateral condensation with and without sealer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1994; 78:225-31.
  15. Abarca AM, Bustos A, Navia M. A Comparison of apical sealing and extrusion between thermafil and lateral condensation techniques. J Endod 2001; 27:670-672.
  16. Fox, Gutteridge. An in vitro study of coronal microleakage in root canal treated teeth restored by the post and core technique. International Endod J. 1997; 30(6): 361-8.
  17. Katz A, Rosenwasser R, Tamse A. Root positioning and leakage to dye in extracted teeth using reduced pressure. Int Endod. Journal 1998; 31: 63–66.
  18. Pathomvanich S., Edmunds DH. Variation in microleakage produced from different techniques in root filling in a simulated root canal model. International. Endodontic Journal 1996; 29:156-62.
  19. Torabinejad M, Skobe Z, Trombly PL, Krakow AA, Gron P, Marlin J. Scanning electron microscopic study of root canal obturation using thermoplasticized guttapercha. J Endod 1978; 4:245-249.
  20. McRobert AS, Lumley PJ. An in vitro investigation of coronal leakage with three guttapercha back filling techniques. Int Endod J 1997; 30:413-417.
  21. Weller N, Kimbrough WF, Anderson RW. A comparison of thermoplastic Obturation Techniques: Adaptation to Canals Walls. J Endod 1997; 23:703-706.
  22. Haddix JE, Jarrell M, Mattison GD, Pink FE. An in vitro investigation of the seal produced by a new thermoplasticized guttapercha obturation technique. Quintessence International. 1991; 22: 159-163.
  23. Wu MK, Kastakova A, Wesserlink PR. Quality of cold and warm guttapercha fillings in oval canals in mandibular premolars. Int Endod J 2001; 34; 485–491.
  24. Maden M, Gorgul G, Tinaz AC. Evaluation of Apical Leakage of Root Canals Obturated with Nd:YaG laser-softened Guttapercha, System-B, and Lateral Condensation Techniques. J Contemp Dent Pract 2002; (3)1: 016-026.
  25. De Deus G, Murad CF, Reis CM, Filho EG, Filho TC, Analysis of sealing ability of different obturation techniques in oval shaped canals: A study using a bacterial leakage model. Braz Oral Res 2006; 20(1):64-9.
  26. Schafer E, Doz P, Oithoff G. Effect of three different sealers on the sealing ability of both thermafil obturators and cold laterally compacted guttapercha. J Endod 2002; 23:638 -642.
  27. Beatty RG, Baker PS, Haddix J, Hart A. The efficacy of four root canal obturation techniques in preventing apical dye penetration. J Am Dent Assoc 1989; 119:633-637.
  28. Gencoglu N. Comparison of 6 different guttapercha techniques (Part II): Thermafil, JS Quick–Fill, Soft Core, Microseal, System B, and lateral condensation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 96: 91-5.
  29. Pommel L. Lack of correlation among three methods for evaluation of apical leakage. J Endod 2001; 27:347-350.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.