Micro-computed tomographic evaluation of single-cone obturation with three sealers
Zare Sahar, Shen Ivy, Zhu Qiang, ¾Èö, Primus Carolyn, Komabayashi Takashi,
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( Zare Sahar ) - University of New England College of Dental Medicine
( Shen Ivy ) - University of New England College of Dental Medicine
( Zhu Qiang ) - University of Connecticut School of Dental Medicine Division of Endodontology
¾Èö ( Ahn Chul ) - University of Texas Southwestern Medical Center Department of Clinical Science
( Primus Carolyn ) - Augusta University Dental College of Georgia
( Komabayashi Takashi ) - University of New England College of Dental Medicine
Abstract
Objectives: This study used micro-computed tomography (¥ìCT) to compare voids and interfaces in single-cone obturation among AH Plus, EndoSequence BC, and prototype surface pre-reacted glass ionomer (S-PRG) sealers and to determine the percentage of sealer contact at the dentin and gutta-percha (GP) interfaces.
Materials and Methods: Fifteen single-rooted human teeth were shaped using ProTaper NEXT size X5 rotary files using 2.5% NaOCl irrigation. Roots were obturated with a single-cone ProTaper NEXT GP point X5 with AH Plus, EndoSequence BC, or prototype S-PRG sealer (n = 5/group).
Results: The volumes of GP, sealer, and voids were measured in the region of 0?2, 2?4, 4?6, and 6?8 mm from the apex, using image analysis of sagittal ¥ìCT scans. GP volume percentages were: AH Plus (75.5%), EndoSequence BC (87.3%), and prototype S-PRG (94.4%). Sealer volume percentages were less: AH Plus (14.3%), EndoSequence BC (6.8%), and prototype S-PRG (4.6%). Void percentages were AH Plus (10.1%), EndoSequence BC (5.9%), and prototype S-PRG (1.0%). Dentin-sealer contact ratios of AH Plus, EndoSequence BC, and prototype S-PRG groups were 82.4% ¡¾ 6.8%, 71.6% ¡¾ 25.3%, and 70.2% ¡¾ 9.4%, respectively. GP-sealer contact ratios of AH Plus, EndoSequence BC, and prototype S-PRG groups were 65.6% ¡¾ 29.1%, 80.7% ¡¾ 25.8%, and 87.0% ¡¾ 8.6%, respectively.
Conclusions: Prototype S-PRG sealer created a low-void obturation, similar to EndoSequence BC sealer with similar dentin-sealer contact (> 70%) and GP-sealer contact (> 80%). Prototype S-PRG sealer presented comparable filling quality to EndoSequence BC sealer.
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Endodontic sealer; X-ray Micro-CT; Tricalcium silicate; Epoxy resin; S-PRG prototype sealer
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