Fluid-transport evaluation of lateral condensation, GuttaCore™ and continuous wave of obturation techniques

To achieve success in endodontic treatment, the root canal system should be as sealed as possible with suitable material such as gutta-percha and sealer. Objective: This study compare the apical leakage of roots obturated with GuttaCore™, lateral condensation, and continuous wave obturation through a computerized fluid-transport system. Material and methods: Fifty-two freshlyextracted upper molars were used. The disto-buccal roots were cut and standardized to 10 mm long. The root canals were prepared at working length with WaveOne primary reciprocating files. The specimens were randomly divided and filled by one of the following obturation techniques: GuttaCore™, lateral condensation or continuous wave obturation, using SILCO sealer. The positive controls were left unfilled and the negative controls were totally coated with cyanoacrylate and three layers of nail polish. The roots were stored in relative humidity for 72 h at 37°C, allowing the sealer to set. After this period, the roots were connected to a computerized fluid-transport system, and the apical leakage was analyzed. Results: The results were expressed in µL.cmH2O-1.min-1 x10-4 1.36 atm. The data were statistically analyzed using one-way ANOVA and Tukey´s tests. The specimens of the positive control group showed extreme amounts of apical leakage. There was no leakage in the negative ontrols. The statistical analysis indicated that continuous wave obturation and GuttaCore™ showed lower leakage than the lateral condensation technique (p0.05). Conclusion: Continuous wave obturation and GuttaCore™ showed lower leakage than the lateral condensation technique. There was no difference between the continuous wave obturation and GuttaCore™. The fluid-transport system used in this study allowed an accurate quantitative measurement of leakage using simpler equipment.To achieve success in endodontic treatment, the root canal system should be as sealed as possible with suitable material such as gutta-percha and sealer. Objective: This study compare the apical leakage of roots obturated with GuttaCore™, lateral condensation, and continuous wave obturation through a computerized fluid-transport system. Material and methods: Fifty-two freshlyextracted upper molars were used. The disto-buccal roots were cut and standardized to 10 mm long. The root canals were prepared at working length with WaveOne primary reciprocating files. The specimens were randomly divided and filled by one of the following obturation techniques: GuttaCore™, lateral condensation or continuous wave obturation, using SILCO sealer. The positive controls were left unfilled and the negative controls were totally coated with cyanoacrylate and three layers of nail polish. The roots were stored in relative humidity for 72 h at 37°C, allowing the sealer to set. After this period, the roots were connected to a computerized fluid-transport system, and the apical leakage was analyzed. Results: The results were expressed in µL.cmH2O-1.min-1 x10-4 1.36 atm. The data were statistically analyzed using one-way ANOVA and Tukey´s tests. The specimens of the positive control group showed extreme amounts of apical leakage. There was no leakage in the negative ontrols. The statistical analysis indicated that continuous wave obturation and GuttaCore™ showed lower leakage than the lateral condensation technique (p0.05). Conclusion: Continuous wave obturation and GuttaCore™ showed lower leakage than the lateral condensation technique. There was no difference between the continuous wave obturation and GuttaCore™. The fluid-transport system used in this study allowed an accurate quantitative measurement of leakage using simpler equipment

Influence of protaper finishing files and sodium hypochlorite on cleaning and shaping of mandibuldar central incisors - a histological analysis

OBJECTIVE: This study investigated the influence of the last apical instrument of the ProTaper system with and without 2.5% sodium hypochlorite for cleaning mandibular central incisors. MATERIAL AND METHODS: Thirty two mandibular central incisors were divided into six study groups: Group I - F1 instrument with 2.5% sodium hypochlorite; Group II - F1 and F2 with 2.5% sodium hypochlorite; Group III - F1, F2 and F3 with 2.5% sodium hypochlorite; Group IV - F1 with distilled water; Group V - F1 and F2 with distilled water; Group VI - F1, F2 and F3 with distilled water. The two remaining teeth comprised the negative control group. The specimens were prepared following the principles of the technique suggested by the manufacturer and then submitted to histological preparation and morphometric analysis. Data were analyzed statistically by the Kruskal Wallis test at 1% significance level. RESULTS: There was statistically significant difference (

A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion

Malignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral nerve sheath tumor of the maxilla is rare. This article is the first to address malignant peripheral nerve sheath tumor of the maxilla presenting as a periapical radiolucency on nonvital endodontically treated teeth in the English medical literature. Surgical approaches to malignant soft tissue tumor vary based on the extent of the disease, age of the patient, and pathological findings. A rare case of intraosseous malignant peripheral nerve sheath tumor is reported in a 16-year-old woman. The patient presented clinically with a pain involving the upper left incisors region and with defined unilocular periapical radiolucency lesion involved between the upper left incisors. An incisional biopsy was made. Histological and immunohistochemical examination were positive for S-100 protein and glial fibrillary acidic protein showed that the lesion was an intraosseous malignant peripheral nerve sheath tumor of the maxilla. Nine years after the surgery, no regional recurrence was observed