Evaluation of CPoint obturation system for voids & gaps using digital microscope
DOI:
https://doi.org/10.32828/mdj.v18i2.969Keywords:
CPoint, GuttaCore,, GuttaFlow 2,, Voids,, GapsAbstract
ABSTRACT
Aim: This study was aimed to evaluate the quality of CPoint obturation system by calculating the percentage of surface area of voids and gaps in different levels in comparison with Guttapercha point/GuttaFlow 2 and Guttacore/Endofill.
Method: Sixty palatal roots of extracted upper first molars were prepared and divided into three groups of 20 samples each, the first group was obturated with CPoint/BC sealer, the second one was obturated with Guttapercha point/ GuttaFlow2 and the third was obturated with GuttaCore/Endofil. Each root sectioned into four sections at 8 mm, 6 mm, 4 mm, and 2 mm levels from the W.L and transferred to be photographed under digital microscope, the canal cross sectional area, and the area of voids and gaps were measured then surface area percentages of unfilled areas were calculated. Data then analyzed statistically using ANOVA and LSD tests.
Results: Higher percentages of unfilled areas were observed in Group1 (p < 0.01) in comparison to Group2 and Group3 except with S2 of Group3 (p > 0.05). And there was no significant difference between Group2 and Group3 except at S2. The results of comparison among different
sections within each group showed that there is a highly significant difference (p < 0.01) between S2and (S8, S6, S4) within Group 1, in Group 2 the results showed that there is a highly significant difference between S8 and the other sections, and also showed a significant difference (p < 0.05) between S2 and (S4, S6).
Within Group 3 the results revealed significant difference between the (S4, S6) and the (S8, S2) sections.
Conclusion: All systems showed voids and gaps and CPoint obturation system showed the highest percentage of unfilled areas and level of root section had an effect on voids and gaps distribution.
References
REFERENCES
Ng YL, MannV, Rahbaran S, Lewsey J, Gulabivala K. Outcome of Primary Root Canal Treatment: Systematic Review of the Literature–Part 2. Influence of Clinical Factors. . Int Endod J. 2008; 41 (1): 6-31.
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.
Marciano MA, Guimaraes BM, Ordinala-Zapata R, Bramante CM, Cavenago BC, Garcia RB, Bernardineli N, Andrade FB, Moraes IG, Duarte MAH. Physical Properties and Interfacial Adaptation of Three Epoxy Resin–based Sealers 2011.J Endod.37 (10): 1417-1421.
Delivanis PD, Mattison GD, Mendel RW. The survivability of F43 Strain streptococcus sanguis in root canals filled
Clinton K and Van Himel T .Comparison of a warm Gutta-percha obturation technique and lateral condensation. JOE. 2001; 27(11): 692–695.
Johnson WB. A new gutta-percha technique. JOE .1978; 4 (6): 184–188.
Beasley RT, Williamson AE, Justman BC, Qian F. Time required to remove GuttaCore, Thermafil Plus, and thermoplasticized gutta-percha from moderately curved root canals with ProTaper files. JOE. 2013; 39: 125–8.
Elayouti A, Achleithner C, Löst C, Weiger R. Homogeneity and adaptation of a new gutta-percha paste to root canal walls. J Endod 2005; 31: 687–90.
Hari K. Water-Expandable Endodontic Obturation Point: A Review. RRJDS 2014; 1: 37-41.
Arora S, Hegde V. fracture resistance of roots obturated with novel hydrophilic obturation system. J. Conserv. Dent. 2015; 18(3): 261-264.
Guinesi AS, Faria G, Tanomaru-Filho M, Bonetti-Filho I. Influence of Sealer Placement Technique on the Quality of Root Canal Filling by Lateral Compaction or Single Cone. Braz Dent J. 2014; 25(2): 117-122.
Paque F, Sirtes G. Apical sealing ability of Resilon/Epiphany versus gutta-percha/AH Plus. Immediate and 16-months leakage. Int Endod J. 2007; 40:722–9.
Guerreiro-Tanomaru, Juliane ML., Livia EM., Renata DL., Renato de Toledo, and Tanomaru –Filho M. Efficacy of four irrigation needles in cleaning the apical third of root canals. Braz Dent J .2013; 24(1), 21-24.
Sagsen B, Usstun Y, Demirbuga S and Pala K. push out bond strength two new calcium silicate- based endodontic sealers to root canal dentin. Int Endod J 2011; 44(12): 1088-91.
Kandaswamy D, Venkateshbabu N, Gogulnath D, Kindo AJ. Dentinal tubule disinfection with 2% chlorhexidine gel, propolis, morinda citrifolia juice, 2% povidone iodine, and calcium hydroxide. Int Endod J .2010; 43: 419-423.
Didato A, Eid A, Levin M, Khan S, Tay F, Rueggeberg F. Time-based lateral hygroscopic expansion of a water-expandable endodontic obturation point. J Dent . 2013; 9: 796-801.
Moinzadeh AT, Farack L, Wilde F, Shemesh H, Zaslansky P. Synchrotron-based Phase Contrast-enhanced Micro–Computed Tomography Reveals Delaminations and Material Tearing in Water-expandable Root Fillings Ex Vivo. JOE. 2016; 42(5):776–781.
Eid AA, Nikonov SY, Looney SW, Didato A, Niu LN, Levin MD. In vitro biocompatibility evaluation of a root canal filling material that expands on water sorption. J Endod. 2013; 39: 883–8.
Hassan N, Diab A, Ahmed G. Bond Degradation Resistance and Interface Characterization of a Water-Expandable Endodontic Obturation Point. MJD. 2016; 1(2): 011.
Bouillaguet S, Shaw L, Barthelemy J, Krejci I, Wataha JC. Long term sealing ability of Pulp Canal Sealer, AH Plus, GuttaFlow and Epiphany. Int Endod J. 2008; 41:219 26.
Gutmann JL. The future of root canal obturationDent. Today. 2011; 30: 128, 130–1.
Vyavahare NK, Raghavendra SS, Desia NN. Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems. J. Conserv. Dent. 2016; 19 (3): 235-238.
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: Systematic review of the literature - part 1.Effects of study characteristics on probability of success. Int Endod J. 2007; 40(12):921-39.
Huybrechts B, Bud M, Bergmans L, Lambrechts P, Jacobs R. Void detection in root fillings using intraoral analogue, intraoral digital and cone beam CT images. Int Endod J. 2009; 42(8): 675-85.
Anantula K, Ganta AK. Evaluation and comparison of sealing ability of three different obturation techniques – Lateral condensation, obtura II, and GuttaFlow: An in vitro study. J Conserv Dent. 2011; 14:57 61.
Punia SK, Nadig P, Punia V. An in vitro assessment of apical microleakage in root canals obturated with gutta-flow, resilon, thermafil and lateral condensation: A stereomicroscopic study. J Conserv Dent.2011; 14:173–7.
Elayouti A, Achleithner C, Löst C, Weiger R. Homogeneity and adaptation of a new gutta-percha paste to root canal walls. J Endod 2005; 31: 687–90.
Gutmann JL. The future of root canal obturation. FAMDENT Practical Dentistry Hand Book 2008; 9 (1):1-4.
Michaud R, Burgess J, Barfield R, Cakir D, McNeal S, Eleazer P. Volumetric expansion of gutta-percha in contact with eugenol. J Endod .2008; 34: 1528–32.
Whitten RB, Levitan ME. The effect of canal preparation on fill length in straight root canals obturated with Guttacore. JOE. 2014; 41(2): 155-158.
Ken Koch, Dennis Brave, and Allen Ali Nasseh. A review of bioceramic technology in endodontics. C.E. article 2012.
Akman M, Akman S, DerInbey O, Belli S. Evaluation of Gaps or Voids Occurring in Roots Filled with Three Different Sealers. Eur J Dent 2010; 4(2):101_109.
Obeidat RS, Abdallah H. Radiographic evaluation of the quality of root canal obturation of single-matched cone Gutta-percha root canal filling versus hot lateral technique. Saudi Endod J. 2014; 4:58-63.
Monticelli F, Sword J, Martin RL, Schuster GS, Weller RN, Ferrari M. Sealing properties of two contemporary single-cone obturation systems. Int Endod J. 2007; 40:374–85.
Bertacci A, Baroni C, Breschi L, Venturi M, Prati C. The influence of smear layer in lateral channels filling. Clinical Oral Investigations 2007; 11(4): 353–359.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
