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Category: Volume 05 Issue 10 October 2017
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Title: Do Medicaments Affect the Adhesive Property of the Resin – Based Sealer – An In Vitro Study

Authors: Shanti Priya. P, Himabindu R, Shekhar. K, Smitha. R, Suraj, Mehnaaz. S

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.78

Abstract

Aim:  The aim of this study is to evaluate the apical sealing ability of AH Plus sealer mixed with either chlorhexidine or cetrimide and combined with both

Materials and Methodology: 80 freshly extracted human single rooted permanent teeth were selected, which are decoronated and the root canals were instrumented. The specimens were randomly divided into four groups (n = 20) based on sealer used for obturation such as

Group 1: using AH Plus sealer

Group 2: using AH Plus sealer with chlorhexidine

Group 3: using AH Plus sealer with cetrimide

Group 4: using AH Plus sealer with both chlorhexidine and cetrimide

And the specimens in each group were divided into two subgroups (n = 10) based on obturation technique used such as

Subgroup A: obturated with single cone technique

Subgroup B: obturated with thermoplasticized gutta-percha technique using calamus

Apical sealing ability was evaluated using dye penetration method. Teeth were split longitudinally and then horizontally markings are made at 2, 4 and 6 mm from the apex. Dye penetration evaluation was done using stereomicroscope under 30X magnification.

Results:  All the statistical analysis was done using SPSS version 16. A p-value of <0.05 was considered statistically significant. Comparison of mean dye penetration was done using ANOVA with post-hoc tukey’s test. In all groups, Sub-group B had lower mean dye penetration than subgroup A. There was no significant difference in the mean dye penetration among the 4 groups in subgroup A (p=0.154) and subgroup B (p=0.798).

Conclusion: Within the limitations of this study, there is no significant difference in apical sealing ability of AH Plus sealer when combined with CHX and CTR or both. Thermoplasticized gutta-percha technique with calamus showed better apical sealing ability when compared to single cone obturation technique.

Keywords: AH Plus, cetrimide, chlorhexidine, single cone technique, calamus, apical sealing ability.

References

  1. Ingle JI, Bakland LK, Baumgartner JC. Ingle’s Endodontics 6th ed. Hamilton: BC Decker Inc; 2008; p. 1053-87.
  2. Torabinejad M, Handysides R, Khademi AA, Bakland LK. Clinical implications of the smear layer in endodontics: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:658–66.
  3. Zhang H, Shen Y, Ruse ND, Haapasalo M. Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis. J Endod 2009;35:1051–5.
  4. Siqueira JF Jr, Favieri A, Gahyva SM, et al. Antimicrobial activity and flow rate of newer and established root canal sealers. J Endod 2000;26:274–7.
  5. Leonardo MR, da Silva LA, Almeida WA, Utrilla LS. Tissue response to an epoxy resin-based root canal sealer. Endod Dent Traumatol 1999;15:28–32.
  6. Neff T, Layman D, Jeansonne BG. In vitro cytotoxicity evaluation of endodontic sealers exposed to heat before assay. J Endod 2002;28:811–4.
  7. Tuzuner T, Kusgoz A, Er K, et al. Antibacterial activity and physical properties of conventional glass-ionomer cements containing chlorhexidine diacetate/ cetrimide mixtures. J Esthet Restor Dent 2011;23:46–55.
  8. Gjorgievska E, Apostolska S, Dimkov A, et al. Incorporation of antimicrobial agents can be used to enhance the antibacterial effect of endodontic sealers. Dent Mater 2013;29:e29–34.
  9. Estela Bailon-Sanchez, Pilar Baca, Matilde Ruiz-Linare and Carmen Marıa Ferrer-Luque. Antibacterial and Anti-biofilm Activity of AH Plus with Chlorhexidine and Cetrimide. J Endod 2014;40(7):977-81
  10. Andrea Cardoso Pereira, Celso Kenji Nishiyama, Lidiane de Castro Pinto Single-cone obturation technique: a literature review. 2012 Oct-Dec;9(4):442-7.
  11. Yee FS, Marlin J, Krakow AA, Gron P. Three-dimensional obturation of the root canal using injection molded, Thermopl-asticized dental gutta percha. J Endod 1977;3:168-73.
  12. Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J 1995;28:12-8.
  13. Matilde Ruiz-Linares, Ma Estela Bailon-Sanchez, Pilar Baca, Mariano Valderrama, Carmen Marıa Ferrer-Luque. Physical Properties of AH Plus with Chlorhexidine and Cetrimide. J Endod 2013;39:1611–1614.
  14. Arias-Moliz MT, et al. The effect of benzalkonium chloride additions to AH Plus sealer. Antimicrobial, physical and chemical properties. Journal of Dentistry 2015.
  15. Suprit Sudhir Pawar, Madhu Ajay Pujar, Saleem Dadapeer MakandarM. Evaluation of the apical sealing ability of bioceramic sealer, AH plus & epiphany: An in vitro study. J Conserv Dent 2014;17(6):579-582.
  16. Robberecht L, Colard T, Claisse-Crinquette A. Qualitative evaluation of two endodontic obturation techniques: tapered single-cone method versus warm vertical condensation and injection system. An in vitro study. J Oral Sci. 2012;54(1):99-104.
  17. Youngson CC, Glyn Jones JC, Manogue M, Smith IS. In vitro dentinal penetration by tracers used in microleakage studies. Int Endod J 1998; 31:90-99.
  18. Gordon MP, Love RM, Chandler NP. An evaluation of 0.06 tapered gutta-percha cones for filling of 0.06 taper prepared curved root canals. Int Endod J 2005;38:87-96.
  19. Angerame D, De Biasi M, Pecci R, Bedini R, Tommasin E, Marigo L, et al. Analysis of single point and continuous wave of condensation root filling techniques by micro-computed tomography. Ann Ist Super Sanita 2012;48:35-41.
  20. Pertot WJ, Simon S (2003) Le traitement endodontique. 3rd ed, Quintessence International, Paris, 107-108. (in French)
  21. Clifford J. Ruddle. Filling root canal systems the calamus 3D obturation technique. Dentistry today April 2010.
  22. Chery S Budd, Norman Weller, James C Kulild. A Comparison of Thermoplas-ticized Injectable Gutta-percha Obturation Techniques. J Endod 1991 June; 17(6):260-4.
  23. Prashanth BR, Vasundhara S. Analysis of percentage of gutta-percha filled area using single cone, continuous wave of compaction, thermafil and obtura II in 0.06 taper prepared canals. Endodontology 2009;21:67-72.
  24. Natera M, Pileggi R, Nair U. A comparison of two gutta-percha obturation techniques to replicate canal irregularities in a split-tooth model. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Nov;112(5):29-34.

Corresponding Author

Dr Shanti Priya P

Post Graduate student, Sri Sai College of Dental Surgery,

Vikarabad, Telangana State, India, 501101