Evaluation of single root canals filled using the lateral compaction, tagger's hybrid, microseal and guttaflow techniques

The aim of this study was to determine the percentage of voids, gutta-percha and root canal sealer using 4 different filling techniques. Fifty-two extracted maxillary lateral incisors were prepared using the crown-down pressureless technique. The teeth were randomly divided in 4 groups (n=13): Lateral compaction (LC), Tagger's hybrid (TH), MicroSeal (MS) and GuttaFlow (GF) techniques. Horizontal cross-sections were made at the 2, 10 and 15 mm levels from the apex. Digital images of the root canal areas were acquired using a stereomicroscope and examined using the Image Tool 3.0 software. Statistical analysis was performed using the Kruskal-Wallis test (&#945;=0.05). In general, a significant decrease in the gutta-percha filled area and increase of sealer area were observed at the apical level for all the evaluated techniques (p<0.05). With regard to the presence of voids, no significant difference was found. MS and TH techniques showed a larger gutta-percha filled area than LC and GF techniques at the coronal and middle third level (p<0.05). From the results of the present study, it may be concluded that the gutta-percha filled area of fillings decrease at the apical level, regardless of the filling technique used.O objetivo do estudo foi determinar a porcentagem de espaços vazios, guta-percha e cimento após a obturação por 4 diferentes técnicas. Cinquenta e dois incisivos laterais superiores humanos extraídos foram instrumentados pela técnica coroa-ápice sem pressão. Os dentes foram randomicamente divididos em 4 grupos (n=13): Condensação lateral (LC), Técnica híbrida de Tagger (TH), MicroSeal (MS) e GuttaFlow (GF). Foram feitas secções horizontais a 2, 10 e 15 mm do ápice. Imagens digitais foram obtidas dos canais por meio de estereomicroscópio e analisadas no programa Image Tool 3.0. A análise estatística foi feita utilizando o teste de Kruskal-Wallis (&#945;=0,05). Em geral foi observado um significante decréscimo na área de guta-percha e um aumento na área de cimento para todas as técnicas analisadas (p<0,05). Com relação à presença de espaços vazios, não houve diferença estatística entre as técnicas (p&gt;0,05). As técnicas MS e TH apresentaram área de guta-percha maior que as técnicas LC e GF nos terços médio e cervical (p<0,05). Após análise dos resultados foi possível concluir que a área de guta-percha nas obturações diminui em sentido apical, independente da técnica utilizada

Physical, chemical, and biological properties of white MTA with additions of AlF₃

Made available in DSpace on 2018-12-11T16:52:49Z (GMT). No. of bitstreams: 0 Previous issue date: 2018-04-13Objectives: Addition of aluminum fluoride (AlF3) to MTA was tested to inhibit dental discoloration. Materials and methods: MTA Angelus with 0, 5, 15, and 45% AlF3 were tested. The set cements were characterized using scanning electron microscopy, energy-dispersive spectroscopy, and X-ray diffraction. Radiopacity and setting time were analyzed according to ANSI/ADA 57 and ASTM C266-08. Volume change was evaluated using volumetric micro-CT analysis. The pH and calcium ion release were assessed after 3 and 24 h and 28 days. Dental discoloration in contact with the cements was assessed after 24 h and 28 and 90 days of contact with bovine and human dentine. Tissue reaction to subcutaneous implantation in rats was examined after 30 and 60 days. Results: AlF3 altered the microstructure of MTA. The addition of 5% AlF3 did not significantly alter the radiopacity, setting time, and volume change (p > 0.05). pH and calcium ion release significantly increased with addition of AlF3 (p > 0.05). All the tested proportions of AlF3 prevented the dental darkening verified for MTA Angelus in bovine and human teeth. AlF3 did not interfere in inflammatory response of MTA in all periods of analysis; otherwise, lower amounts showed less intense inflammatory infiltrate. Clinical relevance: AlF3 prevents destabilization of bismuth oxide and consequent tooth darkening, frequently verified in clinical practice when using white MTA. Conclusions: The use of 5% of AlF3 in combination to MTA resulted in a cement that did not result in dental discoloration and did not affect significantly physical, chemical, and biological properties.Department of Restorative Dentistry Dental School of Piracicaba University of Campinas - UNICAMPSchool of Dentistry University of BirminghamDepartment of Surgery and Periodontology Dental School of Ribeirão Preto University of São Paulo – USPDepartment of Dentistry Endodontics and Dental Materials Dental School of Bauru University of São Paulo – USPDepartment of Morphology Dental School of Araçatuba State University of São Paulo – UNESPDepartment of Morphology Dental School of Araçatuba State University of São Paulo – UNES

Rat subcutaneous tissue response to calcium silicate containing different arsenic concentrations

Objective: To evaluate the response of rat subcutaneous tissue in implanted polyethylene tubes that were filled with GMTA Angelus and Portland cements containing different arsenic concentrations. Material and Methods: Atomic absorption spectrophotometry was utilized to obtain the values of the arsenic concentration in the materials. Thirty-six rats were divided into 3 groups of 12 animals for each experimental period. Each animal received two implants of polyethylene tubes filled with different test cements and the lateral of the tubes was used as a control group. After 15, 30 and 60 days of implantation, the animals were killed and the specimens were prepared for descriptive and morphometric analysis considering: inflammatory cells, collagen fibers, fibroblasts, blood vessels and other components. The results were analyzed utilizing the Kuskal-Wallis test and the Dunn's Multiple test for comparison (

Analysis of the reaction of subcutaneous tissues in rats and the antimicrobial activity of calcium hydroxide paste used in association with different substances

The aim of this study was to evaluate the subcutaneous tissue response in rats and the antimicrobial activity of intracanal calcium hydroxide dressings mixed with different substances against E. faecalis. Fifty four rats were divided into three experimental groups according to the vehicle in the calcium hydroxide treatment: 0.4% chlorohexidine in propylene glycol (PG),Casearia sylvestris Sw in PG and calcium hydroxide+PG (control group). The pastes were placed into polyethylene tubes and implanted into the subcutaneous tissue. After 7, 14 and 30 days, the samples were processed and histologically evaluated (hematoxylin and eosin). The tissue surface in contact with the material was analyzed, and the quantitative analysis determined the volume density occupied by the inflammatory infiltrate (giant cells, polymorphonuclear cells and mononuclear cells), fibroblasts, collagen fibers and blood vessels. For the antimicrobial analysis, 20 dentin blocks infected with E. faecalis were treated with calcium hydroxide pastes in different vehicles; 0.4% chlorhexidine in PG, PG, extract fromCasearia sylvestris Sw in PG and a positive control (infection and without medication) for 7 days. The efficiency of the pastes was evaluated by the live/dead technique and confocal microscopy. The results showed that 0.4% chlorhexidine induced a higher inflammatory response than the other groups. The Casearia sylvestris Sw extract showed satisfactory results in relation to the intensity of the inflammatory response. In the microbiological test, there were no statistical differences between the evaluated intracanal dressings and the percentage of bacterial viability was between 33 and 42%. The control group showed an 86% viability. Antimicrobial components such as chlorhexidine or Casearia sylvestris Sw did not improve the antimicrobial activity against E. faecalis in comparison to the calcium hydroxide+PG treatment. In addition, the incorporation of chlorhexidine in the calcium hydroxide paste promoted the highest inflammatory response

Dental discoloration caused by Grey-MTAFlow cement: analysis of its physicochemical, biological and antimicrobial properties

Tricalcium silicate-based cement are materials used in reparative and regenerative procedures in endodontics. A recently proposed formulation aimed to enhance handling during clinical use with a versatile material applicable by syringe. Although, the use of bismuth oxide as radiopacifier and grey raw powder are drawbacks considering aesthetics. Objectives: Evaluate physicochemical, biological, and antimicrobial properties of Grey-MTAFlow (Ultradent) and assess whether the addition of zinc oxide (ZnO) prevents dentinal discoloration caused by bismuth oxide. Methodology: Grey-MTAFlow was manipulated in 'thin' consistency for all tests. Luminosity, color change, ion migration to dentine, radiopacity, setting time, ISO 6876:2012 linear flow, volumetric lateral flow and central filling of simulated grooves scanned using micro-computed tomography (μCT), pH, calcium release, volumetric change using μCT, chemical characterisation, cytotoxicity, and antimicrobial activity were assessed. Addition of 5% ZnO to Grey-MTAFlow and a bismuth-containing experimental composition were comparatively tested. Statistical analyses used Shapiro-Wilk, T-test, ANOVA, and Kolmogorov-Smirnov (p&lt;0.05). Results: The addition of ZnO to Grey-MTAFlow prevented dentine darkening after 90 days due to bismuth migration reduction, although no statistical difference was found (p=0.863). ZnO addition significantly enhanced Grey-MTAFlow radiopacity without differences in initial setting time. Grey-MTAFlow presented an ISO linear flow of 10.9 mm and a balanced volumetric lateral flow with central filling in μCT evaluation. All compositions presented an alkaline pH after immersion. Grey-MTAFlow had a significantly higher calcium ion release after 28 days in comparison to 24 hours (p=0.011) and volumetric expansion of 0.4±1.8% after immersion. ZnO addition altered the hydrated cement matrix once calcium hydroxide (portlandite) could not be detected in characterisation. Neither of the materials produced inhibition halos nor reduced bacterial turbidity, but all presented cytocompatibility above 100%

Treatment outcomes of pulp revascularization in traumatized immature teeth using calcium hydroxide and 2% chlorhexidine gel as intracanal medication

Objective: Pulp revascularization is an effective treatment for immature necrotic teeth. Calcium hydroxide has been used in pulp revascularization as an intracanal medication due to its antimicrobial action and the non-exhibition of crown discoloration and cytotoxicity for stem cells from the apical papilla. Our study aimed to investigate the clinical success and quantitative radiographic changes of root development in immature traumatized teeth using calcium hydroxide plus 2% chlorhexidine gel as intracanal medication. Methodology: In this retrospective study, 16 patients were treated with a standardized pulp revascularization protocol. Calcium hydroxide and 2% chlorhexidine gel were manipulated in a 1:1 (v/v) ratio and inserted into root canals with Lentulo spirals (Dentsply Maillefer, Baillaigues, Switzerland). Patients were followed up for a period from 9 to 36 months for the evaluation of clinical and radiological data. Radiographic measurements of root length, root width, apical diameter, and MTA placement from the apex were quantified using software ImageJ. Wilcoxon test and t-test were used, according to nonparametric or parametric data, respectively, for changes over time in root length, root width, and apical diameter. Results: Fifteen teeth survived during the follow-up period (93.75%) and met the criteria for clinical success. Although the changes seem to be very small in many cases, significant increases in the average root length (14.28%, p&lt;0.0001), root width (8.12%, p=0.0196), and decrease in apical diameter (48.37%, p=0.0007) were observed. MTA placement from the apex and age at the time of treatment was not significantly associated with the quantitative radiographic outcomes. Conclusions: Pulp revascularization in traumatized immature teeth treated with calcium hydroxide plus 2% chlorhexidine gel as intracanal medication had high success and survival rates, showing periodontal healing and resolution of signs and symptoms. However, concerning the continued root development, the outcomes can still be considered unpredictable

Physical, chemical and biological properties of an experimental Portland-based cement with different radiopacifier agents

O objetivo do estudo foi avaliar as propriedades físicas, químicas e biológicas de um cimento experimental à base de Portland contendo diferentes agentes radiopacificadores. Os cimentos foram divididos em 6 grupos: 1. MTA-Angelus branco (controle), 2. cimento Portland branco (CP), 3. CP com 20% de óxido de zircônio (OZ), 4. CP/50% OZ, 5. CP com 20% de tungstato de cálcio (TC) e 6. CP/50% TC. As proporções foram determinadas em peso (80 e 50% de CP para 20 e 50% de radiopacificadores, respectivamente). Os cimentos experimentais foram manipulados utilizando 0,3 mL de líquido composto por 80% de água destilada e 20% de propilenoglicol, em volume. A caracterização dos materiais foi realizada em microscopia eletrônica de varredura (MEV), no modo EDS e em difratômetro de raios-X (XRD). Para os testes de radiopacidade, escoamento, espessura de filme e solubilidade foram seguidas as especificações no 57 da ANSI/ADA (2000). Na determinação do tempo de presa, foi empregada a norma ASTM C266/2008. Na análise do pH e liberação de íons cálcio foram analisados os períodos de 3, 24, 72 e 168 horas. Para análise da descoloração dentária, foram realizadas análises em espectrofotômetro, estereomicroscopia e MEV. Para análise da resposta inflamatória, foi utilizado o teste de implantação em subcutâneo de ratos. A utilização do óxido de zircônio e do tungstato de cálcio em combinação com o cimento Portland resultou no desenvolvimento de cimentos que exibiram uma radiopacidade próxima (20% de radiopacificadores) ou acima (50%) do recomendado pela norma no 57 da ANSI/ADA; tempo de presa mais prolongado, espessura de filme menor e escoamento mais elevado em comparação com o MTA-Angelus; solubilidade adequada e comparável ao MTA-Angelus, elevado pH e liberação de íons cálcio superior ao MTA-Angelus nos períodos iniciais e similar aos 7 dias, ausência de descoloração dentária e resposta inflamatória semelhante ao MTA-Angelus.The aim of the study was to evaluate the physical, chemical and biological properties of an experimental calcium silicate-based cement with different concentrations of the radiopacifiers zirconium oxide and calcium tungstate. The materials were divided in 6 groups: 1. White MTA (control), 2. White Portland cement (PC), 3. PC with 20% zirconium oxide (ZO), 4. PC/50% ZO, 5. PC with 20% calcium tungstate (CT) and 6. PC/50% CT. The proportions were determined by weight. The cements were manipulated using 0.3 mL of liquid composed of 80% distilled water and 20% propylene glycol. The control was manipulated according to manufacturers instructions. The characterization of the materials was performed using scanning electron microscopy (SEM) in EDS mode and X-ray diffractometrer (XRD). For radiopacity, flowability, film thickness and solubility test, the specifications no 57 of ADA (2000) was followed. To determine the setting time, ASTM C266/2008 specifications was followed. For pH and calcium ion release assessment, the periods of 3, 24, 72 and 168 hours were evaluated. The analysis of dental discolouration was performed using spectrophotometer, stereomicroscopy and SEM. To evaluate the inflammatory response, the test of subcutaneous implantation in rats was used. The use of zirconium oxide and calcium tungstate in association with Portland cement resulted in development of cements with radiopacity nearly (20% radiopacifiers) or above (50%) the recommended by ANSI/ADA specifications n a 57, more prolonged setting time, lower film thickness and higher flowability in comparison with MTAAngelus, an adequate and comparable solubility with MTA-Angelus, high pH and calcium ion release higher than MTA-Angelus in the initial periods and similar at 7 days, absence of dental discolouration and inflammatory response similar to that presented by MTA-Angelus