Ali Keleş1, Mahmoud Torabinejad2, Cangül Keskin3, Dongjin Sah2, İsmail Uzun3, Hatice Alçin4. 1. Department of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey. alikeles29@yahoo.com. 2. Loma Linda University School of Dentistry, Loma Linda, CA, USA. 3. Department of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey. 4. Private Practice, Ankara, Turkey.
Abstract
OBJECTIVE: The present study aims to compare two mineral trioxide aggregate (MTA) placement techniques, manual compaction and ultrasonic activation of manually compacted MTA, with warm vertical compaction (WVC) for orthograde obturation of mesial root canals of mandibular first molars showing Vertucci type II root canal configuration. MATERIALS AND METHODS: Thirty roots were selected according to their micro-CT scanned images. Root canals were chemomechanically prepared using Reciproc R25 and NaOCl using EndoVac. The specimens were divided into three groups according to the root canal filling technique, as manual compaction of MTA, ultrasonic activation of manually compacted MTA and WVC using gutta-percha and AH Plus (Denstply Sirona, Ballaigues, Switzerland). Percentages of voids located in apical 3 mm and remaining coronal half until the level where separate root canals re-join within filling were calculated. Data were analyzed using the Kruskal-Wallis and Dunn's tests, and significance was set at 5%. RESULTS: No significant difference was found among the filling techniques regarding the percentage volume of voids at apical 3 mm (P > 0.05). At the coronal half of the isthmus, WVC produced significantly less percentage volume of voids than manual compaction of MTA (P < 0.05) and similar to ultrasonic activation group did (P > 0.05). There was no significant difference between two MTA placement techniques at the coronal half of the isthmus (P > 0.05). CONCLUSIONS: No filling technique produced void-free fillings. The percentage of void volume was similar among groups at apical 3 mm but was different at the coronal half of the isthmus. CLINICAL RELEVANCE: Warm vertical compaction and ultrasonically activated MTA fillings revealed similar quality at the isthmus area, which was superior to manually compacted MTA.
OBJECTIVE: The present study aims to compare two mineral trioxide aggregate (MTA) placement techniques, manual compaction and ultrasonic activation of manually compacted MTA, with warm vertical compaction (WVC) for orthograde obturation of mesial root canals of mandibular first molars showing Vertucci type II root canal configuration. MATERIALS AND METHODS: Thirty roots were selected according to their micro-CT scanned images. Root canals were chemomechanically prepared using Reciproc R25 and NaOCl using EndoVac. The specimens were divided into three groups according to the root canal filling technique, as manual compaction of MTA, ultrasonic activation of manually compacted MTA and WVC using gutta-percha and AH Plus (Denstply Sirona, Ballaigues, Switzerland). Percentages of voids located in apical 3 mm and remaining coronal half until the level where separate root canals re-join within filling were calculated. Data were analyzed using the Kruskal-Wallis and Dunn's tests, and significance was set at 5%. RESULTS: No significant difference was found among the filling techniques regarding the percentage volume of voids at apical 3 mm (P > 0.05). At the coronal half of the isthmus, WVC produced significantly less percentage volume of voids than manual compaction of MTA (P < 0.05) and similar to ultrasonic activation group did (P > 0.05). There was no significant difference between two MTA placement techniques at the coronal half of the isthmus (P > 0.05). CONCLUSIONS: No filling technique produced void-free fillings. The percentage of void volume was similar among groups at apical 3 mm but was different at the coronal half of the isthmus. CLINICAL RELEVANCE: Warm vertical compaction and ultrasonically activated MTA fillings revealed similar quality at the isthmus area, which was superior to manually compacted MTA.
Authors: Rebecca L Martin; Francesca Monticelli; William W Brackett; Robert J Loushine; Roy A Rockman; Marco Ferrari; David H Pashley; Franklin R Tay Journal: J Endod Date: 2007-01-04 Impact factor: 4.171