Literature DB >> 25395069

Effects of root canal preparation, various filling techniques and retreatment after filling on vertical root fracture and crack formation.

Ismail Davut Capar1, Gokhan Saygili1, Hazal Ergun1, Tuba Gok1, Hakan Arslan2, Huseyin Ertas1.   

Abstract

AIM: To investigate the incidence of cracks in root dentin after rotary instrumentation and filling with cold lateral condensation (CL), single-cone obturation (SC), and warm vertical compaction (WV) and retreatment of each filling system.
METHODOLOGY: One-hundred sixty mandibular incisors were selected. Twenty teeth were left unprepared and served as a control, and the remaining 140 teeth were instrumented. Twenty teeth were assigned to an only prepared group. The remaining 120 teeth were assigned to three root canal filling groups and three retreatment groups (n = 20), as follows: CL, WV, SC, and retreatment of each filling system. All the roots were sectioned perpendicular to the long axis at 2, 4, 6, and 8 mm from the apex, and the sections were then observed under a stereomicroscope. The absence/presence of cracks and vertical root fractures were recorded, and the data were analyzed with a Pearson's chi-square test (P = 0.05).
RESULTS: No complete vertical root fractures were observed in the unprepared and only prepared groups. However, vertical fractures were observed in the filling and retreatment groups. There were significantly more cracks in the retreatment after WV group than the other groups, with the exception of the retreatment after SC, WV, and CL resulted in significantly more cracks than the only prepared and SC.
CONCLUSIONS: The filling techniques (except SC) caused more cracks than preparation only. The SC caused fewer cracks compared to the other filling techniques. The retreatment following the different filling techniques (except CL) caused more cracks than the original fillings.
© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Entities:  

Keywords:  Root fracture; cracks; dentinal damage; retreatment; root canal filling; root canal instrumentation

Mesh:

Substances:

Year:  2014        PMID: 25395069     DOI: 10.1111/edt.12154

Source DB:  PubMed          Journal:  Dent Traumatol        ISSN: 1600-4469            Impact factor:   3.333


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