PUSH OUT BOND STRENGTH OF DIFFERENT ROOT CANAL SEALERS USED WITH THE SINGLE CONE OBTURATION TECHNIQUE: AN VITRO STUDY
Keywords:
Bond strength, Root canal, obturation Technique
Abstract
Aim: To evaluate and compare the push-out bond strength of four types of root canal sealers (zinc oxide eugenol (ZnO), AH Plus, EndoSeuence BC sealer and MTA Fillapex) used with single cone obturation.
Materials and methods: Forty extracted sound human mandibular premolars roots were chosen for this study. After de-coronation of the teeth and separation of the desired roots & preparation of the desired root pieces, they were divided into 4 groups according to the sealer used; Group1: zinc oxide eugenol (ZOE), Group2: AH Plus, Group3: EndoSeqence BC sealer and Group4: MTA Fillapex) After obturation with the single cone obturation technique, each tooth was cut into three thirds, coronal, middle and apical. Each of three mm thickness then prepared for push-out assessment using a computerized universal testing machine with a speed of 0.5 mm/min, in Apical- coronal direction until the first displacement of the filling material, and then the results were analyzed statistically.
Results: There was significant difference between the four types of materials with in favor of the Endosequence sealer (2.30 ±1.26) had the highest bond strength to the dentin walls followed by AH plus (1.70 ±1.20) while ZnO sealer had the lowest bond value (1.31 ± 0.88).
Conclusion: The sealer cement BC Sealer provided the best adhesion in all thirds of the root canal added to its bio active properties or bioinert materials is a function of their interaction with the surrounding living tissue.
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References
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Bonaccorso A, Cantatore G, Condorelli GG, Schafer E and Tripi TR (2009) Shaping ability of four nickel-titanium rotary instruments in simulated S-shaped canals. J Endod ;35:883–6
Bouillaguet S, Shaw L, Barthelemy J, Krejci I and Wataha JC. (2008) Long‑term sealing ability of pulp canal sealer, AH‑Plus, GuttaFlow and epiphany. J Int Endod;41:219‑26
Candeiro GT, Correia FC, Duarte MA, Ribeiro-Siqueira DC and Gavini G (2012) “Evaluation of Radiopacity, pH, Release of Calcium Ions, and Flow of a Bioceramic Root Canal Sealer”, J Endod.38:842-5.
Carrillo Varguez et al.,(2016) Comparative in vitro study of the bond strength on dentin of two sealing cements: BC-sealer and AH-PLUS sealer .J Endod 37 (2)115-122
Carneiro SM, Sousa-Neto MD, Rached FA, Jr, Miranda CE, Silva SR and Silva Sousa YT (2012) Push-out strength of root fillings with or without thermomechanical compaction J Int Endod ;45:821–8.
Celikten B, Uzuntas C F, Orhan A I, Orhan K, Tufenkci P, Kursun S and Demiralp R K (2016) Evaluation of Root Canal Sealer Filling Quality Using a Single-Cone Technique in Oval Shaped Canals: An In Vitro Micro-CT J Endod. 3: 133–140.
Chandrasekhar p , Shetty RU, Adlakha T, Shende S and Podar R (2016) A comparison of two NiTi rotary systems, ProTaper Next and Silk for root canal cleaning ability (An in vitro study) J Conserv Endod ;1(1):21-23
Dultra F, Barroso J M, Carrasco L D, Capelli A, Guerisoli D M Z and Pecora J D (2006). Evaluation of apical microleakage of tooth sealed with four different root canal sealars. J Appl Oral Sci;14(5):341-5
Eguchi D, Peters D, Hollinger J and Lorton L (1985). A comparison of the area of the canal space occupied by gutta-percha following four gutta-percha obturation techniques using Procosol sealer. J Endod; 11(4):166-75.
Ersahan S and Aydin C (2010). Dislocation Resistance of iRoot SP, a Calcium Silicate–based Sealer, from Radicular Dentine. J Endod; 36: 2000
Hess D, Solomon E,Spears R and Jianing H E (2011) Retreatability of a Bioceramic Root Canal Sealing Material. J Endod. 3:1-3
Huanj Y, Orhan K, Celikten B, Orhan AI, Tufenkci P and Sevimay S (2018) Evaluation of the sealing ability of different root canal sealers: a combined SEM and micro-CT study. J Appl Oral Sci. 26:1-8
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Jainaen A, Palamara J & Messer H (2007). Push-out bond strengths of the dentine–sealer interface with and without a main cone. J Int Endod; 40(11):882- 90.
Khader MA (2016) An in Vitro Scanning Electron Microscopy Study to Evaluate the Dentinal Tubular Penetration Depth of Three Root Canal Sealers J Int Oral health; 8(2):191-194
Koch K and Brave D (2009) “Anewday has dawned: the increased use of bioceramics in endodontics,” J Dent. 10:39–43.
Koch K and Brave D (2011) the increased use of bioceramics in endodontics Available J Endod. 1:267
Kulkarni G (2017) New Root Canal Obturation Techniques: A Review J Dent Sci. 11(2): 68-76.
LeGeros R, Chohayeb A and Shulman A (1982) “Apatitic calcium phosphates: possible dental restorative materials,” J Dent Res. 61: 343.
Madhuri GV, Varri S, Bolla N, Mandava P, Akkala LS and Shaik J (2016) Comparison of bond strength of different endodontic sealers to root dentin: An in vitro push-out test ear J Endod. 19 (5): 461-464
Mishra P, Sharma A, Mishra S, Gupta M (2017) Push-out bond strength of different endodontic obturation material at three different sites - In-vitro study J Clin Exp Dent.;9(6):733-7.
Olczak K and Pawlicka H (2017) Evaluation of the Sealing Ability of Three Obturation Techniques Using a Glucose Leakage Test. J Bio Med Res. 3(4):1-8.
Patni PM, Chandak M, Jain P, Patni MJ, Jain S, Mishra P and Jain V (2016) Stereomicroscopic Evaluation of Sealing Ability of Four Different Root Canal Sealers- An invitro Study. J Clin Diagn Res.10(8): 37-39.
Pawar AM, Pawar S, Kfir A, Pawar M and Kokate S (2015). Push-out bond strength of root fillings made with C-Point and BC sealer versus gutta-percha and AH plus after the instrumentation of oval canals with the Self-Adjusting File versus Wave One. J Int Endod.31:17-22.
Pereira AC, Nishiyama CK and Pinto LD (2012) Single-cone obturation technique. J Bio Med Res; 9(4):442-7.
Ray H, Seltzer S (1991). A new glass ionomer root canal sealer. J Endod; 17: 598-603.
Samara-Baechtold M, Flávia-Mazaro A, Monguilott-Crozeta B, PiottoLeonardi D, Fagundes-Tomazinho FS, Baratto-Filho F and Aihara-Haragushiku G (2014) “Adhesion and Formation of Tags from MTA Fillapex Compared with AH plus R Cement”, J Rev Sul Brasileira Odonto. 1:71-6.
Sonmez IS, Oba AA, S€onmez D and Almaz ME (2012) In vitro evaluation of apical microleakage of a new MTA-based sealer. J Eur Arch Paediatr Dent 13:252–255.
Sundqvist G, Figdor D, Persson S and Sjo¨gren U (1998) Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative retreatment. J Oral Surg, Oral Med, Oral Patho, Oral Radiology, and Endod. 85: 86–93.
Tagger M, Tagger E, Tjan AH and Bakland LK (2002) Measurement of adhesion of endodontic sealers to dentin. J Endod; 28:351–4.
Tziafas D, Alraeesi D, Hormoodi R, Ataya M, Fezai H and Aga N (2017) Preparation Prerequisites for Effective Irrigation of Apical Root Canal: A Critical Review J Clin Exp Dent.9(10):1256-63.
Uzunoglu E, Yilmaz Z, Sungur DD, Altundasar E (2015) Retreatability of root canal obturated using Gutta‑percha with bioceramic, MTA and resin‑based sealers. J Endod ; 10:93–98.
Van der Vyver PJ and Scianamblo (2013) Clinical guidelines for the use of ProTaper Next instruments: part one. Endod Practice 16(4): 33-40
Vitti R P, Prati C, Silva E J, Sinhoreti M A A, Zanchi C H, Silva M G, Ogliari F A Piva E and Maria Giovanna Gandolfi M G (2013) Physical Properties of MTA Fillapex Sealer J Endod. 39(7): 915-918
Yap W , Che Ab, Aziz Z , Azami N , Al-Haddad A and Khan A (2017) An In-vitro Comparison of Bond Strength of Different Sealers/Obturation Systems to Root Dentin Using Push-out Test at 2 Weeks and 3 Months Post Obturation J Med Princ Pract.26(5):464-469
Zhang H, Shen Y, Ruse ND and Haapasalo M (2009) Antibacterial activity of endodontic sealers by modifi ed direct contact test against Enterococcus faecalis J Endod ;35:1051-5.
Zhang W, Li Z and Peng B (2010) cytotoxicity of a new calcium silicatebased canal fi lling material J Int Endod.43:769-74. Zoufan K, Jiang J, Komabayashi T, Wang YH, Safavi KE and Zhu Q (2011) Cytotoxicity evaluation of Gutta Flow and Endo Sequence BC sealers J Oral Surg Oral Med Oral Pathol Oral Radiol Endod ;112:657-61.
Zhang W, Li Z, and Peng B (2009 Assessment of a new root canal sealer's apical sealing ability. J Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 107:79–82
Bonaccorso A, Cantatore G, Condorelli GG, Schafer E and Tripi TR (2009) Shaping ability of four nickel-titanium rotary instruments in simulated S-shaped canals. J Endod ;35:883–6
Bouillaguet S, Shaw L, Barthelemy J, Krejci I and Wataha JC. (2008) Long‑term sealing ability of pulp canal sealer, AH‑Plus, GuttaFlow and epiphany. J Int Endod;41:219‑26
Candeiro GT, Correia FC, Duarte MA, Ribeiro-Siqueira DC and Gavini G (2012) “Evaluation of Radiopacity, pH, Release of Calcium Ions, and Flow of a Bioceramic Root Canal Sealer”, J Endod.38:842-5.
Carrillo Varguez et al.,(2016) Comparative in vitro study of the bond strength on dentin of two sealing cements: BC-sealer and AH-PLUS sealer .J Endod 37 (2)115-122
Carneiro SM, Sousa-Neto MD, Rached FA, Jr, Miranda CE, Silva SR and Silva Sousa YT (2012) Push-out strength of root fillings with or without thermomechanical compaction J Int Endod ;45:821–8.
Celikten B, Uzuntas C F, Orhan A I, Orhan K, Tufenkci P, Kursun S and Demiralp R K (2016) Evaluation of Root Canal Sealer Filling Quality Using a Single-Cone Technique in Oval Shaped Canals: An In Vitro Micro-CT J Endod. 3: 133–140.
Chandrasekhar p , Shetty RU, Adlakha T, Shende S and Podar R (2016) A comparison of two NiTi rotary systems, ProTaper Next and Silk for root canal cleaning ability (An in vitro study) J Conserv Endod ;1(1):21-23
Dultra F, Barroso J M, Carrasco L D, Capelli A, Guerisoli D M Z and Pecora J D (2006). Evaluation of apical microleakage of tooth sealed with four different root canal sealars. J Appl Oral Sci;14(5):341-5
Eguchi D, Peters D, Hollinger J and Lorton L (1985). A comparison of the area of the canal space occupied by gutta-percha following four gutta-percha obturation techniques using Procosol sealer. J Endod; 11(4):166-75.
Ersahan S and Aydin C (2010). Dislocation Resistance of iRoot SP, a Calcium Silicate–based Sealer, from Radicular Dentine. J Endod; 36: 2000
Hess D, Solomon E,Spears R and Jianing H E (2011) Retreatability of a Bioceramic Root Canal Sealing Material. J Endod. 3:1-3
Huanj Y, Orhan K, Celikten B, Orhan AI, Tufenkci P and Sevimay S (2018) Evaluation of the sealing ability of different root canal sealers: a combined SEM and micro-CT study. J Appl Oral Sci. 26:1-8
Huffman BP, Mai S, Pinna L, Weller RN, Primus CM, Gutmann JL, et al (2009) Dislocation resistance of ProRoot Endo Sealer, a calcium silicate-based root canal sealer, from radicular dentine. J Int Endod; 42:34-46
Jainaen A, Palamara J & Messer H (2007). Push-out bond strengths of the dentine–sealer interface with and without a main cone. J Int Endod; 40(11):882- 90.
Khader MA (2016) An in Vitro Scanning Electron Microscopy Study to Evaluate the Dentinal Tubular Penetration Depth of Three Root Canal Sealers J Int Oral health; 8(2):191-194
Koch K and Brave D (2009) “Anewday has dawned: the increased use of bioceramics in endodontics,” J Dent. 10:39–43.
Koch K and Brave D (2011) the increased use of bioceramics in endodontics Available J Endod. 1:267
Kulkarni G (2017) New Root Canal Obturation Techniques: A Review J Dent Sci. 11(2): 68-76.
LeGeros R, Chohayeb A and Shulman A (1982) “Apatitic calcium phosphates: possible dental restorative materials,” J Dent Res. 61: 343.
Madhuri GV, Varri S, Bolla N, Mandava P, Akkala LS and Shaik J (2016) Comparison of bond strength of different endodontic sealers to root dentin: An in vitro push-out test ear J Endod. 19 (5): 461-464
Mishra P, Sharma A, Mishra S, Gupta M (2017) Push-out bond strength of different endodontic obturation material at three different sites - In-vitro study J Clin Exp Dent.;9(6):733-7.
Olczak K and Pawlicka H (2017) Evaluation of the Sealing Ability of Three Obturation Techniques Using a Glucose Leakage Test. J Bio Med Res. 3(4):1-8.
Patni PM, Chandak M, Jain P, Patni MJ, Jain S, Mishra P and Jain V (2016) Stereomicroscopic Evaluation of Sealing Ability of Four Different Root Canal Sealers- An invitro Study. J Clin Diagn Res.10(8): 37-39.
Pawar AM, Pawar S, Kfir A, Pawar M and Kokate S (2015). Push-out bond strength of root fillings made with C-Point and BC sealer versus gutta-percha and AH plus after the instrumentation of oval canals with the Self-Adjusting File versus Wave One. J Int Endod.31:17-22.
Pereira AC, Nishiyama CK and Pinto LD (2012) Single-cone obturation technique. J Bio Med Res; 9(4):442-7.
Ray H, Seltzer S (1991). A new glass ionomer root canal sealer. J Endod; 17: 598-603.
Samara-Baechtold M, Flávia-Mazaro A, Monguilott-Crozeta B, PiottoLeonardi D, Fagundes-Tomazinho FS, Baratto-Filho F and Aihara-Haragushiku G (2014) “Adhesion and Formation of Tags from MTA Fillapex Compared with AH plus R Cement”, J Rev Sul Brasileira Odonto. 1:71-6.
Sonmez IS, Oba AA, S€onmez D and Almaz ME (2012) In vitro evaluation of apical microleakage of a new MTA-based sealer. J Eur Arch Paediatr Dent 13:252–255.
Sundqvist G, Figdor D, Persson S and Sjo¨gren U (1998) Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative retreatment. J Oral Surg, Oral Med, Oral Patho, Oral Radiology, and Endod. 85: 86–93.
Tagger M, Tagger E, Tjan AH and Bakland LK (2002) Measurement of adhesion of endodontic sealers to dentin. J Endod; 28:351–4.
Tziafas D, Alraeesi D, Hormoodi R, Ataya M, Fezai H and Aga N (2017) Preparation Prerequisites for Effective Irrigation of Apical Root Canal: A Critical Review J Clin Exp Dent.9(10):1256-63.
Uzunoglu E, Yilmaz Z, Sungur DD, Altundasar E (2015) Retreatability of root canal obturated using Gutta‑percha with bioceramic, MTA and resin‑based sealers. J Endod ; 10:93–98.
Van der Vyver PJ and Scianamblo (2013) Clinical guidelines for the use of ProTaper Next instruments: part one. Endod Practice 16(4): 33-40
Vitti R P, Prati C, Silva E J, Sinhoreti M A A, Zanchi C H, Silva M G, Ogliari F A Piva E and Maria Giovanna Gandolfi M G (2013) Physical Properties of MTA Fillapex Sealer J Endod. 39(7): 915-918
Yap W , Che Ab, Aziz Z , Azami N , Al-Haddad A and Khan A (2017) An In-vitro Comparison of Bond Strength of Different Sealers/Obturation Systems to Root Dentin Using Push-out Test at 2 Weeks and 3 Months Post Obturation J Med Princ Pract.26(5):464-469
Zhang H, Shen Y, Ruse ND and Haapasalo M (2009) Antibacterial activity of endodontic sealers by modifi ed direct contact test against Enterococcus faecalis J Endod ;35:1051-5.
Zhang W, Li Z and Peng B (2010) cytotoxicity of a new calcium silicatebased canal fi lling material J Int Endod.43:769-74. Zoufan K, Jiang J, Komabayashi T, Wang YH, Safavi KE and Zhu Q (2011) Cytotoxicity evaluation of Gutta Flow and Endo Sequence BC sealers J Oral Surg Oral Med Oral Pathol Oral Radiol Endod ;112:657-61.
Zhang W, Li Z, and Peng B (2009 Assessment of a new root canal sealer's apical sealing ability. J Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 107:79–82
Published
2020-06-02
How to Cite
AHMED , H. T., & AL-MEZOURI, A. R. (2020). PUSH OUT BOND STRENGTH OF DIFFERENT ROOT CANAL SEALERS USED WITH THE SINGLE CONE OBTURATION TECHNIQUE: AN VITRO STUDY. Journal of Duhok University, 22(2), 151-158. https://doi.org/10.26682/sjuod.2019.22.2.17
Section
Pure and Engineering Sciences
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